Collaborative Referral Model for Hepatitis C Screening and Treatment in a Remote Mountainous Region of Taiwan during the COVID-19 Pandemic

被引:0
|
作者
Tai, Chi-Ming [1 ,2 ]
Bair, Ming-Jong [3 ,4 ]
Chen, Tzu-Haw [1 ]
Tseng, Cheng-Hao [5 ,6 ]
Chen, Chih-Cheng [5 ,6 ]
Lam, Hung [7 ]
Yu, Ming-Lung [8 ,9 ,10 ,11 ]
机构
[1] I Shou Univ, E Da Hosp, Dept Internal Med, Div Gastroenterol & Hepatol, Kaohsiung 824, Taiwan
[2] I Shou Univ, Coll Med, Sch Med Int Students, Kaohsiung 824, Taiwan
[3] Taitung Mackay Mem Hosp, Dept Internal Med, Div Gastroenterol, Taitung 950408, Taiwan
[4] Mackay Med Coll, Dept Med, New Taipei 252, Taiwan
[5] I Shou Univ, E Da Canc Hosp, Dept Internal Med, Div Gastroenterol & Hepatol, Kaohsiung 824, Taiwan
[6] I Shou Univ, Coll Med, Sch Med, Kaohsiung 824, Taiwan
[7] Liouguei Dist Publ Hlth Ctr, Kaohsiung 844, Taiwan
[8] Natl Sun Yat sen Univ, Coll Med, Sch Med, Kaohsiung 804, Taiwan
[9] Natl Sun Yat sen Univ, Ctr Excellence Metab Associated Fatty Liver Dis, Kaohsiung 804, Taiwan
[10] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Coll Med, Dept Internal Med,Hepatobiliary Div, Kaohsiung 807, Taiwan
[11] Kaohsiung Chang Gung Mem Hosp, Dept Internal Med, Div Hepatogastroenterol, Kaohsiung 833, Taiwan
来源
VIRUSES-BASEL | 2023年 / 15卷 / 04期
关键词
direct-acting antiviral; viral hepatitis; hepatitis C; primary care; referral model; screening; elimination; VIRUS-INFECTION; ELIMINATION; CARE;
D O I
10.3390/v15040827
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Community-based screening for the hepatitis C virus (HCV) decreased during the COVID-19 pandemic. We developed a collaborative referral model between a primary clinic (Liouguei District Public Health Center, LDPHC) and a tertiary referral center to increase HCV screening and treatment uptake in a mountainous region of Taiwan. Once-in-a-lifetime hepatitis B and C screening services established by the Taiwan National Health Insurance were performed at LDPHC. Antibody-to-HCV (anti-HCV)-seropositive patients received scheduled referrals and took a shuttle bus to E-Da hospital for HCV RNA testing on their first visit. Direct-acting antiviral agents (DAAs) were prescribed for HCV-viremic patients on their second visit. From October 2020 to September 2022, of 3835 residents eligible for HCV screening in Liouguei District, 1879 (49%) received anti-HCV testing at LDPHC. The overall HCV screening coverage rate increased from 40% before referral to 69.4% after referral. Of the 79 anti-HCV-seropositive patients, 70 (88.6%) were successfully referred. Of the 38 HCV-viremic patients, 35 (92.1%) received DAA therapy, and 32 (91.4%) achieved sustained virological response. The collaborative referral model demonstrates a good model for HCV screening and access to care and treatment in a Taiwan mountainous region, even during the COVID-19 pandemic. Sustained referral is possible using this routine referral model.
引用
收藏
页数:10
相关论文
共 50 条
  • [21] Remote Hiring Innovation During the COVID-19 Pandemic
    Jewkes, Melanie D.
    Swinton, Jonathan J.
    Cromwell, Shannon
    Schramm, David G.
    Brower, Naomi
    JOURNAL OF EXTENSION, 2020, 58 (05):
  • [22] Telegenetics Remote counseling during the COVID-19 pandemic
    Mahon, Suzanne
    CLINICAL JOURNAL OF ONCOLOGY NURSING, 2020, 24 (03) : 244 - 248
  • [23] Remote Work in Peru during the COVID-19 Pandemic
    Cajas, Alexander Frank Pasquel
    Bravo, Veronica Tomasa Cajas
    Moran, Roberto Carlos Davila
    ADMINISTRATIVE SCIENCES, 2023, 13 (02)
  • [24] Impact of the covid-19 pandemic on lung cancer referral and treatment
    Mcadam, J.
    Moudgil, H.
    Nixon, J.
    Srinivasan, K.
    Wareing, P.
    Crawford, E.
    EUROPEAN RESPIRATORY JOURNAL, 2022, 60
  • [25] Remote Treatment Delivery in Response to the COVID-19 Pandemic
    Wright, Jesse H.
    Caudill, Robert
    PSYCHOTHERAPY AND PSYCHOSOMATICS, 2020, 89 (03) : 130 - 132
  • [26] Emergency Remote Instruction during the COVID-19 Pandemic Reshapes Collaborative Learning in General Chemistry
    Van Heuvelen, Katherine M.
    Daub, G. William
    Van Ryswyk, Hal
    JOURNAL OF CHEMICAL EDUCATION, 2020, 97 (09) : 2884 - 2888
  • [27] LOW ATTENDANCE OF PEOPLE WITH SUBSTANCE USE DISORDERS TO ADDICTION CENTERS JEOPARDIZED HEPATITIS C SCREENING AND TREATMENT DURING THE COVID-19 PANDEMIC
    Marcos-Fosch, Cristina
    Grau-Lopez, Lara
    Felipe Palma-Alvarez, Raul
    Daigre, Constanza
    Rando-Segura, Ariadna
    Llaneras, Jordi
    Riveiro Barciela, Mar
    Rodriguez-Frias, Francisco
    Colom, Joan
    Esteban-Mur, Rafael
    Buti, Maria
    HEPATOLOGY, 2021, 74 : 595A - 595A
  • [28] HEPATITIS B AND C IN A MUNICIPALITY IN THE SOUTHEAST REGION OF MATO GROSSO: ANALYSIS OF THE CASES DURING THE COVID-19 PANDEMIC
    Santos, Debora
    Benevenuto, Vitbria Carolina Ferreira
    Goulart, Leticia Silveira
    de Mattos, Magda
    de Olinda, Ricardo Alves
    REVISTA UNIVAP, 2023, 29 (62)
  • [29] Telemonitoring of the Continuum of Care of Hepatitis C During the COVID-19 Pandemic in Brazil
    Bittencourt, Paulo Lisboa
    Codes, Liana
    Cesar, Alessandra Maria Dias Guimaraes
    Mussi, Fernanda Carneiro
    Ferraz, Maria Lucia Gomes
    TELEMEDICINE AND E-HEALTH, 2023, 29 (11) : 1673 - 1678
  • [30] HCV hotline facilitates Hepatitis C elimination during the COVID-19 pandemic
    Hartl, Lukas
    Jachs, Mathias
    Bauer, David
    Simbrunner, Benedikt
    Chromy, David
    Binter, Teresa
    Steininger, Lisa
    Schwarz, Caroline
    Schwarz, Michael
    Burghart, Lukas
    Strassl, Robert
    Trauner, Michael
    Gschwantler, Michael
    Mandorfer, Mattias
    Reiberger, Thomas
    JOURNAL OF VIRAL HEPATITIS, 2022, 29 (12) : 1062 - 1072