Universal Barriers and Facilitators to Systemic Hepatitis C Care: A Systems‐Informed Qualitative Process Evaluation.
Scaling up hepatitis C virus (HCV) testing and treatment for people who inject drugs (PWID) is essential to achieve HCV elimination. We report a retrospective systems‐informed qualitative process evaluation of HCV care across multiple community‐based settings in a region in Scotland, UK. Using secon...
| Publicado en: | Systems Research & Behavioral Science Vol. 43; no. 4; pp. 1673 - 1691 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Jul/Aug2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195176530&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195176530 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10927026 2SN jtl: Systems Research & Behavioral Science issn: 10927026 maglogo: Y pubinfo: dt: Jul/Aug2026 vid: 43 iid: 4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 195176530 10.1002/sres.70063 ppf: 1673 ppct: 18 formats: tig: atl: Universal Barriers and Facilitators to Systemic Hepatitis C Care: A Systems‐Informed Qualitative Process Evaluation. aug: au: Vojt, Gabriele Elliott, Lawrie Family, Hannah E. Hutchinson, Sharon J. Hickman, Matthew Dillon, John F. Flowers, Paul affil: National Institute for Health and Care Research (NIHR) Health Protection Research Unit in Evaluation and Behavioural Science, Bristol Medical School, University of Bristol, Bristol, UK Bristol Medical School, University of Bristol, Bristol, UK School of Health & Life Sciences, Glasgow Caledonian University, Glasgow, UK NIHR Applied Research Collaboration (ARC) West, Bristol, UK Public Health Scotland, Edinburgh, UK National Drugs and Alcohol Research Centre, University of New South Wales, Sydney, Australia School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK School of Psychological Sciences & Health, University of Strathclyde, Glasgow, UK su: Scotland Health services accessibility Teams in the workplace Correctional institutions Qualitative research Focus groups Substance abuse treatment Interviewing Affinity groups Health policy Retrospective studies Confidence Motivation (Psychology) Universal healthcare Medical screening Treatment programs Social support Patient participation COVID-19 pandemic Hepatitis C diagnosis Hepatitis C prevention Hepatitis C treatment Databases Medical information storage & retrieval systems Secondary analysis Research funding Descriptive statistics Judgment sampling Thematic analysis Nurse practitioners Health care reform Medical records Acquisition of data Research methodology Comparative studies Data analysis software Health care teams Professional competence sug: subj: Health services accessibility Teams in the workplace Correctional institutions Qualitative research Focus groups Substance abuse treatment Interviewing Affinity groups Health policy Retrospective studies Confidence Motivation (Psychology) Universal healthcare Medical screening Treatment programs Social support Patient participation COVID-19 pandemic Scotland Other Residential Care Facilities Correctional Institutions Federal correctional services Provincial correctional services Administration of Public Health Programs All Other Miscellaneous Ambulatory Health Care Services Outpatient Mental Health and Substance Abuse Centers Psychiatric and Substance Abuse Hospitals Other Individual and Family Services Hepatitis C diagnosis Hepatitis C prevention Hepatitis C treatment Databases Medical information storage & retrieval systems Secondary analysis Research funding Descriptive statistics Judgment sampling Thematic analysis Nurse practitioners Health care reform Medical records Acquisition of data Research methodology Comparative studies Data analysis software Health care teams Professional competence keyword: hepatitis C process evaluation service ecology socioecological framework systems science treatment scale up hepatitis C process evaluation service ecology socioecological framework systems science treatment scale up ab: Scaling up hepatitis C virus (HCV) testing and treatment for people who inject drugs (PWID) is essential to achieve HCV elimination. We report a retrospective systems‐informed qualitative process evaluation of HCV care across multiple community‐based settings in a region in Scotland, UK. Using secondary data from 71 semi‐structured interviews with HCV service providers (n = 40) and service users (n = 31) from across the whole system, we identified universal barriers and facilitators of delivering HCV care (access, testing, treatment, support) within four settings (i.e., enhanced needle and syringe programme services, prisons, pharmacies and drug treatment centres). HCV care had been delivered. We report only one, universal barrier (staff skills and confidence in HCV testing). Systemic HCV care can be delivered through coordinated, multi‐levelled actions across a given service ecology within a geographical area. Such systemic approaches are needed to achieve HCV elimination targets for the whole PWID population. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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