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    Exploring and understanding HCV patient journeys- HEPCARE Europe project.

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    Authors
    Glaspy, Shannon
    Avramovic, Gordana
    McHugh, Tina
    Oprea, Cristiana
    Surey, Julian
    Ianache, Irina
    Macías, Juan
    Story, Alistair
    Cullen, Walter
    Lambert, John S
    Issue Date
    2021-03-05
    Keywords
    HEPATITIS C
    Homeless
    Integrated HCV care
    Lost to follow up (LTFU)
    People who inject drugs (PWID)
    Vulnerable populations
    
    Metadata
    Show full item record
    Journal
    BMC infectious diseases
    URI
    http://hdl.handle.net/10147/631162
    DOI
    10.1186/s12879-021-05928-9
    PubMed ID
    33673828
    Abstract
    Background: Hepatitis C Virus (HCV) is a leading cause for chronic liver diseases worldwide. The European Union and World Health Organization aspire to eliminate HCV by 2030. However, among at-risk populations, including, homeless people, prisoners and People Who Inject Drugs, access to diagnosis and treatment is challenging. Hepcare Europe is an integrated model of care developed to address this by assessing potential reasons for these restrictions and determining measures needed to improve HCV diagnosis, treatment and access to care within different communities. Objectives: HepCare Europe is an EU-supported project involving collaboration between five institutions in: Ireland, United Kingdom, Spain and Romania. We aim to explore the journey of care experienced by those living with HCV with a focus on previous care disruptions (loss to follow up) and the new HepCare Europe Programme. Methods: Research teams conducted semi-structured interviews with patients who accessed services through HepCare Europe thus, patients were recruited by purposeful sampling. Patients interviewed had received, or were in the final weeks of receiving, treatment. The interviews were audio recorded, transcribed and translated into English, and sent to the Dublin team for inductive thematic analysis. Researchers from the HepCare Europe research team coded the data separately, then together. Results: Common themes are introduced to present similarities, following individual site themes to highlight the importance of tailored interventions for each country. Key themes are: 1) Hepatitis C patients lost to follow up 2) HepCare improved access to treatment and 3) the need for improved HCV education. Individual themes also emerged for each site. These are: Ireland: New opportunities associated with achieving Sustained Virologic Responses (SVR). Romania: HCV is comparatively less crucial in light of Human Immunodeficiency Viruses (HIV) coinfections. UK: Patients desire support to overcome social barriers and Spain: Improved awareness of HCV, treatment and alcohol use. Conclusion: This study identified how the tailored HepCare interventions enabled improved HCV testing and linkage to care outcomes for these patients. Tailored interventions that targeted the needs of patients, increased the acceptability and success of treatment by patients. HepCare demonstrated the need for flexibility in treatment delivery, and provided additional supports to keep patients engaged and educated on new treatment therapies.
    Item Type
    Article
    Language
    en
    EISSN
    1471-2334
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12879-021-05928-9
    Scopus Count
    Collections
    Mater Misericordiae Hospital

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