J Health Care Poor Underserved. 2020;31(3):1037-1043. doi: 10.1353/hpu.2020.0077.
Chronic hepatitis B infection is common in the United States, yet only a minority of eligible people are screened, vaccinated, and receive treatment. The Ryan White HIV/AIDS program has been a key tool for ensuring that socioeconomically disadvantaged HIV-infected patients have access to care. Many of the same disease and patient attributes that make the Ryan White program necessary and effective for HIV exist in chronic hepatitis B. Thus, we believe that the current Ryan White program should be expanded to care for people with hepatitis B under similar regulations. Considering recent changes proposed to the health insurance marketplace, policymakers should strongly consider inclusion of chronic hepatitis B in the safety-net Ryan White Program.
慢性乙型肝炎感染在美国很常见，但只有少数符合条件的人接受了筛查、接种疫苗和治疗。瑞安·怀特艾滋病项目（Ryan White HIV/AIDS program）一直是确保社会经济处于不利地位的艾滋病毒感染者获得治疗的重要工具。在慢性乙型肝炎中，存在许多与艾滋病相同的疾病和患者特征，这使得瑞安·怀特计划对于艾滋病的必要性和有效性。因此，我们认为，目前的瑞安·怀特计划应根据类似的规定扩大到乙型肝炎患者的护理。考虑到最近对医疗保险市场提出的修改建议，政策制定者应强烈考虑将慢性乙型肝炎纳入安全网瑞安·怀特计划。
