Improving access to care for people who inject drugs: Qualitative evaluation of project ITTREAT—An integrated community hepatitis C service
| العنوان: | Improving access to care for people who inject drugs: Qualitative evaluation of project ITTREAT—An integrated community hepatitis C service |
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| المؤلفون: | Clare Phillips, Jasmine Schulkind, Sumita Verma, Margaret O’Sullivan, Natalie Edelman, Helen Smith, Christina J Jones |
| المصدر: | Journal of Viral Hepatitis. 27:176-187 |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Drug, medicine.medical_specialty, Service delivery framework, media_common.quotation_subject, Social Stigma, Stigma (botany), Health Services Accessibility, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Virology, Humans, Medicine, Community Health Services, 030212 general & internal medicine, Substance Abuse, Intravenous, Qualitative Research, media_common, Hepatitis, Hepatology, business.industry, Hepatitis C, Middle Aged, medicine.disease, Focus group, United Kingdom, Infectious Diseases, Family medicine, Cohort, Female, 030211 gastroenterology & hepatology, Thematic analysis, business |
| الوصف: | Achieving hepatitis C virus (HCV) elimination by 2030 requires an increased linkage to care for people who inject drugs (PWID). Project ITTREAT was established to mitigate barriers to HCV care by providing an integrated service within a local drug and alcohol treatment centre. This study aimed to explore the experiences of clients and staff involved in Project ITTREAT and assess the facilitators and barriers to a community‐based HCV service. Between October 2014 and April 2016, drug and alcohol treatment attendees were interviewed using one‐to‐one semi‐structured interviews. Drug and alcohol treatment staff took part in focus groups. All data were recorded, transcribed verbatim and analysed using thematic content analysis. Fifteen drug and alcohol treatment attendees with current/previous HCV infection were interviewed, and 15 staff members contributed across two focus groups. Drug and alcohol treatment staff and attendees reported that Project ITTREAT facilitated access to HCV care by mitigating previous negative hospital‐based experiences. Other key facilitators were positive narratives around HCV care, and drug and alcohol treatment attendees being well engaged in their drug/alcohol recovery. Barriers included a lack of stability in drug and alcohol treatment attendees, negative discourse around testing/treatment and stigma associated with attending the drug and alcohol treatment to access HCV treatment in some who had successfully achieved drug rehabilitation. Our findings indicate the positive impact of an integrated and personalized community‐based service delivered by a dedicated hepatitis nurse. This played a crucial role in reducing barriers to HCV care for PWID. Our work also highlights areas for future investment including non–DAT‐based community services and increasing awareness of new treatments amongst this cohort. |
| وصف الملف: | text; application/pdf |
| تدمد: | 1365-2893 1352-0504 |
| DOI: | 10.1111/jvh.13214 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f300963620d440e3d1f9930b5a7e6575 https://doi.org/10.1111/jvh.13214 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f300963620d440e3d1f9930b5a7e6575 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652893 13520504 |
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| DOI: | 10.1111/jvh.13214 |