Meet–Test–Treat for HCV management: patients’ and clinicians’ preferences in hospital and drug addiction services in Italy

BMC Infectious Diseases

Antonio Craxì¹  Ivan Gardini²  Stefano Fagiuoli³  Nicola Coppola⁴  Massimo Andreoni⁵  Alessandra Mangia⁶  Felice Alfonso Nava⁷  Patrizio Pasqualetti⁸ 

[1] Department of Gastroenterology, University of Palermo, Palermo, Italy;EpaC Onlus, Italian Liver Patient Association, Monza (MB), Italy;Gastroenterology Hepatology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy;Infectious Diseases Unit, Department of Mental Health and Public Medicine, University of Campania Luigi Vanvitelli, Naples, Italy;Infectious Diseases, Polyclinic of Rome Tor Vergata, Rome, Italy;Liver Unit, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, FG, Italy;Penitentiary Medicine and Drug Abuse Unit, Public Health Service, Padua, Italy;Section of Medical Statistics, Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy;

关键词: HCV;    Meet–Test–Treat;    Healthcare services;    Point of care;    Preferences;    Conjoint analysis;   

DOI  :  10.1186/s12879-021-06983-y

来源: Springer

【 摘 要 】

BackgroundIt has been estimated that the incidence of chronic hepatitis C virus (HCV) will not decline over the next 10 years despite the improved efficacy of antiviral therapy because most patients remain undiagnosed and/or untreated. This study aimed to investigate the opinion of relevant target populations on the practicability, effectiveness and best modalities of the test-and-treat approach in the fight against HCV in Italy.MethodsA survey was delivered to patients with HCV from the general population, patients from drug addiction services, hospital physicians and healthcare providers for drug addiction services.ResultsFor both hospital clinicians and SerD HCPs, tolerability is shown as the most important feature of a suitable treatment. Time to treatment (the time from first contact to initiation of treatment) is deemed important to the success of the strategy by all actors. While a tolerable treatment was the main characteristic in a preferred care pathway for general patients, subjects from drug addiction services indicated that a complete Meet–Test–Treat pathway is delivered within the habitual care center as a main preference. This is also important for SerD HCPs who are a strong reference for their patients; hospital clinicians were less aware of the importance of the patient-HCP relationship in this process.ConclusionThe health system is bound to implement suitable pathways to facilitate HCV eradication. A Meet–Test–Treat program within the drug addiction services may provide good compliance from subjects mainly concerned with virus transmission.

【 授权许可】

CC BY