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通过孤岛进行切片:开发和评估基于医院的远程医疗C型肝炎病毒治疗计划
J Babiarz1, H Ryu2, C Williams3
1Department of Medicine, Division of Internal Medicine and Geriatrics, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239 United States.
The International journal on drug policy
|April 9, 2024
概括
一个医院的远程医疗计划成功地治疗了型肝炎病毒 (HCV) 在患有物质使用障碍 (SUD) 的患者中. 这种创新模式改善了弱势群体的治疗启动率和治愈率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 远程医疗远程医疗
背景情况:
- 型肝炎病毒 (HCV) 治疗的障碍包括物质使用障碍 (SUD) 和缺乏常规医疗护理.
- 实施了医院远程医疗计划,为住院患者提供HCV治疗.
研究的目的:
- 评估基于医院的远程医疗计划在将住院患者与HCV联系到护理和开始治疗方面的有效性.
- 在这个患者群体中评估治疗完成率和持续病毒学反应 (SVR12) 率.
主要方法:
- 一项前性队列研究,涉及25名住院的HCV患者和SUD病史.
- 患者在社会工作者和药剂师的支持下,接受了用glecaprevir/pibrentasvir或sofosbuvir/velpatasvir治疗HCV的远程医疗咨询.
- 在住院期间和住院后进行了外展和随访,SVR12.2证实了治愈.
主要成果:
- 在25名患者中,有19名 (76%) 开始接受HCV治疗.
- 14名患者 (56%) 完成治疗,11名患者 (44%) 获得确诊治愈 (SVR12).
- 研究人口主要由SUD和住房不稳定的个人组成.
结论:
- 基于医院的多学科远程医疗计划是治疗难以接触的患者群体中HCV的有效模式.
- 这种创新方法表明,在面临治疗障碍的弱势群体中改善HCV结局的潜力.
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