Barriers to hepatitis C treatment.

Barriers to hepatitis C treatment.
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DOI:
10.1111/j.1478-3231.2011.02706.x
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发表时间:
2012-02
期刊:
Liver international : official journal of the International Association for the Study of the Liver
影响因子:
--
通讯作者:
Fried MW
Fried MW
中科院分区:
其他
文献类型:
--
作者:
McGowan CE;Fried MW

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尽管丙型肝炎病毒(HCV)感染有非常有效的治疗方法,但很少有患者接受治疗。从诊断到专家转诊等多个层面产生的障碍可能会阻碍丙型肝炎护理的提供。在患者层面,缺乏认识、害怕副作用、依从性差和合并症可能会阻碍治疗。对于提供者来说,有限的知识、缺乏可用性和沟通困难可能是问题。在政府和付款人层面,缺乏推广、监督和资金可能会造成干扰。如果要实现抗病毒治疗的更广泛实施,这些障碍都需要加以解决。
Despite the availability of highly effective therapy for hepatitis C virus (HCV) infection, few patients receive treatment. Barriers arising at multiple levels, from diagnosis to specialist referral, may impede the delivery of hepatitis C care. At the patient level, lack of awareness, fear of side effects, poor adherence, and comorbid conditions may prevent treatment. For providers, limited knowledge, lack of availability, and communication difficulties may be problematic. At the government and payer level, a lack of promotion, surveillance, and funding may interfere. Each of these barriers needs to be addressed if wider implementation of antiviral therapy is to be achieved.
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