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首页> 外文期刊>Journal of health care for the poor and underserved >Quality of Hepatitis C care at an urban tertiary care medical center
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Quality of Hepatitis C care at an urban tertiary care medical center

机译：市区三级医疗中心的丙型肝炎护理质量

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Background. More effective treatment for hepatitis C virus (HCV) creates an opportunity to improve health outcomes. Objective. To use Centers for Medicare and Medicaid Services (CMS)-defined HCV quality indicators (QI) as a framework to assess the quality of care at an urban safety net hospital. Design. Retrospective cohort. Participants. Patients engaged in care (at least two outpatient visits, and minimum six-month follow-up time) between 2005 and 2011. Outcomes measures. 1) HCV ribonucleic acid (RNA); 2) genotyping; 3) treatment; and 4) Hepatitis A and B vaccination. Study time was divided into three periods: 1) 2005-2006, 2) 2007-2008, 3) 2009-2011. Key results. Number who met inclusion criteria: 3,018; 13% were human immunodeficiency virus co-infected. Only 1% completed the care recommended in the CMS quality indicators that were evaluated. Later time periods were independently associated with greater rates (aHR for HCV testing, 1.15; 95% CI, 1.04-1.28). Conclusions. Quality of care is improving, but it remains suboptimal. Initiatives are needed to increase QI completion.
机译：背景。丙型肝炎病毒（HCV）的更有效治疗为改善健康状况创造了机会。目的。将医疗保险和医疗补助服务中心（CMS）定义的HCV质量指标（QI）用作评估城市安全网医院的护理质量的框架。设计。回顾性队列。参加者在2005年至2011年之间进行护理的患者（至少两次门诊，至少六个月的随访时间）。结果指标。 1）HCV核糖核酸（RNA）; 2）基因分型; 3）治疗; 4）甲肝和乙肝疫苗接种。研究时间分为三个时期：1）2005-2006，2）2007-2008，3）2009-2011。关键结果。符合纳入标准的人数：3,018; 13％的人免疫缺陷病毒被共同感染。只有1％的人完成了所评估的CMS质量指标中建议的护理。以后的时间段与更高的发生率独立相关（HCV检测的aHR为1.15; 95％CI为1.04-1.28）。结论。护理质量正在改善，但仍不理想。需要采取措施来提高QI的完成度。

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