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扩大新墨西哥州监狱系统的C型肝炎病毒治疗:使用ECHO模型为提供者和监狱同行教育
Karla A Thornton1,2, Paulina D Deming2,3, Gaelyn R D Archer2
1Division of Infectious Diseases, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Journal of viral hepatitis
|August 13, 2024
概括
新墨西哥州扩大了在监狱中使用简化的算法和Project ECHO (虚拟指导) 的C型肝炎病毒 (HCV) 治疗. 该模型实现了89.2%的治愈率,为癌症环境中消除HCV提供了一个全球战略.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 肝病学 肝病学是一种肝病学.
背景情况:
- 消除C型肝炎病毒 (HCV) 需要解决其在癌症环境中的流行问题.
- 新墨西哥州的惩教系统实施了创新策略,以扩大HCV治疗的机会.
研究的目的:
- 描述新墨西哥州在州监狱内扩大HCV治疗的经验.
- 评估ECHO项目和NM同行教育计划 (NMPEP) 在这种环境中的有效性.
- 为全球扩展基于监狱的HCV治疗提出一个模型.
主要方法:
- 实施简化的HCV治疗算法和基线实验室评估.
- 利用ECHO项目对复杂案件进行专家咨询.
- 部署NM同行教育计划 (NMPEP) 用于患者教育和解决治疗障碍.
主要成果:
- 从2020年12月到2023年6月,有3603人患有HCV病毒病;1685人开始接受治疗.
- 在988名完成者和随访实验室中,89.2%的人取得了持续的病毒学反应 (SVR),表明治愈.
- 培训了148名NMPEP同行教育工作者,为3832名同行提供预防和治疗信息.
结论:
- 在监狱中使用简化的算法和虚拟指导,HCV治疗是可行的和有效的.
- 项目ECHO和NMPEP是管理晚期疾病和改善患者参与度的宝贵补充.
- 这种综合方法提供了一个可扩展的模型,用于在癌症患者群体中消除全球的HCV.
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