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Assessing Disparities in the Rates of HCV Diagnoses Within American Indian or Alaska Native Populations Served by the U.S. Indian Health Service, 2005-2015.评估美国印第安人卫生服务机构服务的美国印第安人或阿拉斯加原住民人群中丙型肝炎病毒诊断率的差异,2005-2015 年。
J Community Health. 2018 Dec;43(6):1115-1118. doi: 10.1007/s10900-018-0528-7.
2
Direct-acting antiviral sustained virologic response: Impact on mortality in patients without advanced liver disease.直接作用抗病毒药物持续病毒学应答:对无晚期肝病患者死亡率的影响。
Hepatology. 2018 Sep;68(3):827-838. doi: 10.1002/hep.29811. Epub 2018 May 14.
3
Rising Mortality Associated With Hepatitis C Virus in the United States, 2003-2013.2003 - 2013年美国丙型肝炎病毒相关死亡率上升
Clin Infect Dis. 2016 May 15;62(10):1287-1288. doi: 10.1093/cid/ciw111. Epub 2016 Mar 1.
4
Simple, Effective, but Out of Reach? Public Health Implications of HCV Drugs.简单、有效,但难以企及?丙型肝炎病毒药物对公共卫生的影响
N Engl J Med. 2015 Dec 31;373(27):2678-80. doi: 10.1056/NEJMe1513245. Epub 2015 Nov 17.
5
Association between sustained virological response and all-cause mortality among patients with chronic hepatitis C and advanced hepatic fibrosis.慢性丙型肝炎合并晚期肝纤维化患者持续病毒学应答与全因死亡率的关系。
JAMA. 2012 Dec 26;308(24):2584-93. doi: 10.1001/jama.2012.144878.

2018 年美国四个州、印第安人医疗保健系统的丙型肝炎药物处方和医疗补助政策。

Hepatitis C drug prescriptions and Medicaid policies--four states, Indian health care system, USA 2018.

机构信息

Northwest Portland Area Indian Health Board, 2121 Broadway Suite 300, Portland, OR, 97201, USA.

United States Indian Health Service, 5600 Fishers Lane, Rockville, MD, 20857, USA.

出版信息

Int J Equity Health. 2019 Dec 4;18(1):190. doi: 10.1186/s12939-019-1101-4.

DOI:10.1186/s12939-019-1101-4
PMID:31801547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6894296/
Abstract

Medicaid, the state-level public insurance in the United States, has widely differing criteria treatment for hepatitis C virus (HCV) such as stage of liver fibrosis, documented sobriety, and specialist consultation. In a rural health network, facilities located in two less restrictive states prescribed HCV drugs at a significantly higher rate than two more restrictive states (rate ratio 4.7, CI 2.6-8.5). Prescription rates per population were highly associated with HCV treatment policies.

摘要

美国州级公共保险医疗补助对丙型肝炎病毒(HCV)的治疗标准存在很大差异,例如肝纤维化分期、有记录的戒酒情况和专家咨询。在一个农村医疗网络中,位于两个限制较少的州的医疗机构开处 HCV 药物的比率明显高于两个限制较多的州(比率比 4.7,95%置信区间 2.6-8.5)。每人口的处方率与 HCV 治疗政策密切相关。