A novel multisite model to facilitate hepatitis C virus elimination in people experiencing homelessness
In people experiencing homeless, we found a high prevalence of HCV, alcohol, and substance misuse including overdoses and mental health issues. Despite this, an integrated and decentralised service resulted in excellent linkage to care with high SVR12 rates. Even in this complex cohort with multiple comorbidities, SVR12 was associated with significant improvements in both generic and liver specific HRQoL. This was all achieved at modest costs in a community setting. Such models of care are feasible, easy to replicate, and essential if we are to achieve HCV elimination.
Authors
- Emma Gray (ORCID: https://orcid.org/0000-0003-3725-6758)
- Rona McGeer
- Vikki Charles (ORCID: https://orcid.org/0000-0002-7435-689X)
- Anna‐Marie Jones (ORCID: https://orcid.org/0000-0002-4126-1915)
- Sumita Verma (ORCID: https://orcid.org/0000-0001-7021-8409)
- Lidia Salvaggio
- Adele Mourad (ORCID: https://orcid.org/0000-0002-4486-448X)
- Margaret O’Sullivan (ORCID: https://orcid.org/0000-0003-2009-3251)
- Natasha Sanderson
- Thomas D. Bird (ORCID: https://orcid.org/0000-0001-9598-3529)
- Heather Gage
Institutions
- Brighton and Sussex Medical School (GB)
- Sussex Partnership NHS Foundation Trust (GB)
- University of Surrey (GB)
- Royal Surrey NHS Foundation Trust (GB)
- University Hospitals Sussex NHS Foundation Trust (GB)
Publication Details
- Journal
- JHEP Reports
- Published
- 2024-08-12
- DOI
- https://doi.org/10.1016/j.jhepr.2024.101183
- Citations
- 3
- Primary Topic
- Homelessness and Social Issues
- Type
- article
- Field-Weighted Citation Impact
- 2.55
Funders
- Gilead Sciences