Cascade of Care for Hepatitis C Virus Infection Within the US Veterans Health Administration

被引：62

作者：

Maier, Marissa M. ^{[1
,2
]}

Ross, David B. ^{[2
,3
]}

Chartier, Maggie ^{[2
,4
]}

Belperio, Pamela S. ^{[5
,6
]}

Backus, Lisa I. ^{[6
,7
]}

机构：

[1] Vet Hlth Adm, VA Portland Hlth Care Syst, Portland, OR USA

[2] VHA, Off Publ Hlth, HIV Hepatitis & Publ Hlth Pathogens Programs, Washington, DC USA

[3] VA Washington DC Hlth Care Syst, Washington, DC USA

[4] VHA, VA San Francisco Hlth Care Syst, San Francisco, CA USA

[5] VHA, VA Greater Angeles Hlth Care Syst, Los Angeles, CA USA

[6] VHA, Off Publ Hlth Populat Hlth, Washington, DC USA

[7] VHA, VA Palo Alto Hlth Care Syst, Palo Alto, CA USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2016年 / 106卷 / 02期

关键词：

PLUS RIBAVIRIN; UNITED-STATES; PREVALENCE; SOFOSBUVIR; LEDIPASVIR;

D O I：

10.2105/AJPH.2015.302927

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. We measured the quality of HCV care using a cascade of HCV care model. Methods. We estimated the number of patients diagnosed with chronic HCV, linked to HCV care, treated with HCV antivirals, and having achieved a sustained virologic response (SVR) in the electronic medical record data from the Veterans Health Administration's Corporate Data Warehouse and the HCV Clinical Case Registry in 2013. Results. Of the estimated 233 898 patients with chronic HCV, 77% (181 168) were diagnosed, 69% (160 794) were linked to HCV care, 17% (39 388) were treated with HCV antivirals, and 7% (15 983) had achieved SVR. Conclusions. This Cascade of HCV Care provides a clinically relevant model to measure the quality of HCV care within a health care system and to compare HCV care across health systems.

引用

页码：353 / 358

页数：6

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