Needs Assessment of HCV-Infected Individuals Experiencing Homelessness and Implications

Needs Assessment of HCV-Infected Individuals Experiencing Homelessness and Implications
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DOI:
10.1353/hpu.2017.0042
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发表时间:
2017-02-01
影响因子:
1.4
通讯作者:
Gaeta, Jessie M.
Gaeta, Jessie M.
中科院分区:
医学4区
文献类型:
--
作者:
Beiser, Marguerite;Leon, Casey;Gaeta, Jessie M.

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丙型肝炎病毒(HCV)可耐受的有效疗法的出现为无家可归者提供HCV治疗创造了机会。在波士顿,一家为无家可归者提供服务的联邦合格社区卫生中心对HCV感染患者样本进行了匿名需求评估调查,以了解HCV治疗计划的发展(N = 240)。初级保健提供者(PCP)被确定为HCV教育的主要来源。考虑HCV治疗的主要动机被确定为“照顾你的健康”(73.5%)和“你的提供者说你应该接受治疗”(53.6%)。完成HCV治疗的兴趣和信心很高。大多数受访者(51.4%)更愿意在初级保健环境中接受HCV治疗。对PCP治疗的偏好显著高于肝脏专科治疗(30.8%,p
The advent of tolerable, efficacious therapies for hepatitis C virus (HCV) creates an opportunity to provide HCV treatment for individuals experiencing homelessness. A federally-qualified community health center serving individuals experiencing homelessness in Boston conducted an anonymous needs assessment survey of a sample of HCV-infected patients in order to inform development of an HCV treatment program (N = 240). Primary care providers (PCPs) were identified as the chief source of HCV education. Main motivators to consider HCV treatment were identified as "taking care of your health" (73.5%) and "your provider says you should get treated" (53.6%). Interest and confidence to complete HCV treatment were high. The majority of respondents (51.4%) preferred to receive HCV treatment in the primary care setting. Preference for PCP-based treatment was significant compared to liver specialty-based treatment (30.8%, p