Facente Consulting, 5601 Van Fleet Avenue, Richmond, CA 94804, USA.
Community Health Equity and Promotion Branch, San Francisco Department of Public Health, 25 Van Ness Suite 500, San Francisco, CA 94102, USA.
Infect Dis Clin North Am. 2018 Jun;32(2):313-322. doi: 10.1016/j.idc.2018.02.012.
In the pre-direct-acting antiviral era, hepatitis C virus (HCV) treatments were complex and largely managed by hepatologists, gastroenterologists, and infectious disease physicians. As direct-acting antivirals have driven up demand for treatment, the relative scarcity of these specialists has created a bottleneck effect, resulting in only a fraction of HCV-infected individuals offered treatment. The San Francisco Health Network is a safety net system of care. Its intervention was designed to be sustainable and scalable; with minimal time commitments for training providers, primary care-based HCV treatment increased 3-fold in a period of just over 3 years.
在直接作用抗病毒药物时代之前，丙型肝炎病毒 (HCV) 的治疗方法复杂，主要由肝病专家、胃肠病专家和传染病专家管理。随着直接作用抗病毒药物的需求增加，这些专家相对稀缺，造成了治疗瓶颈，导致只有一小部分 HCV 感染者得到了治疗。旧金山健康网络是一个医疗保障系统。其干预措施旨在具有可持续性和可扩展性；通过对提供者进行最小时间的培训承诺，在短短 3 年多的时间里，以初级保健为基础的 HCV 治疗增加了 3 倍。
