消除慢性病毒性型肝炎在惩戒卫生保健中的消除
Rahul Kumar1,2, Yu Jun Wong1,2, Jessica Tan1
1Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
Singapore medical journal
|October 15, 2025
概括
型肝炎病毒 (HCV) 的消除在使用直接作用抗病毒药物的惩戒设施中是可能的. 基于监狱的治疗是具有成本效益的,促进健康公平,并支持全球HCV消除目标.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生政策 卫生政策
背景情况:
- 惩戒设施有不成比例地高的肝炎C病毒 (HCV).
- 直接作用的抗病毒药物改变了HCV治疗的可能性.
- 消除HCV是一种关键的全球卫生目标.
研究的目的:
- 审查科学证据和在惩戒机构中消除HCV的进展.
- 评估"测试和治疗"模型和微消除策略的有效性.
- 确定监狱HCV治疗的障碍和促进因素.
主要方法:
- 关于在惩戒系统中消除HCV的科学证据的文献综述.
- 分析"测试和治疗"模型和全球微消除案例研究.
- 对监狱HCV治疗的障碍 (结构,财务,临床,后勤) 的检查.
主要成果:
- 基于监狱的HCV治疗是可行的和有效的,正如微消除成功所证明的那样.
- 像新加坡这样的合作努力表明,成功实施了HCV治疗指南.
- 存在重大障碍,但可以通过战略规划和合作来克服.
结论:
- 基于监狱的HCV治疗是实现HCV消除的成本有效策略.
- 在惩戒设施中实施HCV治疗促进了健康公平,并减少了HCV的整体社会负担.
- 这种方法符合并支持世界卫生组织2030年全球HCV消除目标.
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