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. 2023 Jun 22;15(7):1413. doi: 10.3390/v15071413

Table 1.

The interventions needed at the system, provider, and patient level.

System-Level Provider Level Patients Level
Screening Screening high-risk patients
(PWID, prisoners, and others)
Proactive action: patient
invitation for screening
Stopping substance
abuse
Modeling high-risk patient screening according to medical files Being aware with cultural and linguistic barriers Keeping appointments
Universal screening in
countries with high HCV
prevalence
Adherence to screening
Linkage to care Improving HCV antibody
and viral load testing
accessibility and availability
Preparing patients for treatment (laboratory test
including antibody and HCV viral load)
Compliance with
preparation before
treatment, and laboratory
testing
Availability of the point-of-care/self-testing according to the local needs Case and resource
management at the local level
Insurance coverage
Availability of testing for
non-invasive liver disease
severity assessment (FIB-4,
APRI, Fibrotest, FibroScan)
Using doctor-to-doctor virtual consultation if available
Decentralization of the
patient’s investigation/
patient’s preparation for
treatment
Treatment Universal access to treatment Be convinced treatment is possible, easy, and simple Paying medical expenses
Shortening wait time for
specialist consultation
Appropriate education for
HCV treatment initiation, in
regions where providers are
authorized to do so
Adherence to treatment
Using telemedicine throughout all phases
Decentralization of treatment approval and prescriptions
Adding prescribers
(internist, family doctors, or
pharmacists) according to the local needs
Clear healthcare
policy/national program/protocols
Special consideration for
people who inject drugs,
refugees, and prisoners
Other elements Education and training of the providers Increasing knowledge,
education
Staff familiarity with the
process of screening,
investigation and treatment
Continuing follow-up
Increasing awareness among
the population regarding the
importance of the screening
and treatment
Using telemedicine when
possible
Other manpower
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