摘要
Abstract
Objective This article explores a new hepatitis C management model by presenting the current status,objectives,methods,and outcomes of full-course management at Shenyang Sixth People's Hospital,offering a reference for clinical practice.Method According to the"HCV full-course management model",the HCV high-risk group should receive regular screening,and Anti-HCV positive patients were recommended to undergo HCV RNA tests.Authorized physicians determine therapeutic regimen,follow up HCV infected patients,and enter screening,treatment,and follow-up information into"HCV Prevention and Control Information System of the Chinese Center for Disease Control and Prevention Information System".The advancement and feasibility of the"full-course management model"were evaluated and compared based on treatment rate,follow-up rate,the sustained virological response(SVR)rate,etc.Result During the one-year implementation of the whole-course management of hepatitis C in our hospital,through continuous optimization of the work process,the new discovery rate,diagnosis rate and treatment rate of hepatitis C have been increased,and the data has become statistically available.After the implementation,the number of newly diagnosed hepatitis C patients increased by 84%compared with that before the implementation,the HCV RNA detection rate of the patients was 100%,and the treatment rate was 83.26%,among the patients followed up after treatment,the rapid virological response(RVR)rate reached 97.67%.The early virological response(EVR)rate reached 83.46%,the SVR rate reached 90.48%.The quantification of hepatitis C diagnosis and treatment data has been realized,filling the gap in previous data management of our hospital and laying a foundation for the improvement of the whole-course management of hepatitis C in the future.Conclusion By strengthening the organizational management,screening,and follow-up management aspects of the full-course management of hepatitis C,patient treatment adherence was improved,leading to an increase in diagnosis and cure rates,and a reduction in the risk of new infections and mortality.关键词
丙型肝炎/全病程管理/治疗依从性/诊断率/治愈率Key words
Hepatitis C/Total course management/Treatment compliance/Diagnosis rate/Cure rate分类
医药卫生
