Access to direct-acting antivirals for the treatment of hepatitis C in a country with limited resources

To estimate the proportion of patients who access to direct-acting antivirals agents (DAAs) for the treatment of hepatitisC in Argentina and to evaluate factors associated with failure to access to treatment. We performed a cross-sectional study of DAAs prescriptions written by centers participating...

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Bibliographic Details
Published in:	Revista de Gastroenterología de México (English Edition) Vol. 83; no. 2; pp. 208 - 211
Main Authors:	Marciano, S, Haddad, L, Borzi, S M, D'Amico, C, Gaite, L A, Aubone, M V, Sirotinsky, M E, Ratusnu, N, Frola, M S, Aparicio, M C, Ríos, B, Anselmo, M N, Hansen, R, De Filippi, S, Dans, C García, de Labra, L, Peche, M A, Strella, T M, Ibáñez Duran, M, García Rosales, M B, Dirchwolf, M, Galdame, O A, Gadano, A C
Format:	Journal Article
Language:	English Spanish
Published:	Mexico 01-04-2018
Subjects:	Direct acting antiviral agents Healthcare systems Barreras Barriers Access Antivirales de acción directa Sistemas de salud Acceso HepatitisC
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Summary:	To estimate the proportion of patients who access to direct-acting antivirals agents (DAAs) for the treatment of hepatitisC in Argentina and to evaluate factors associated with failure to access to treatment. We performed a cross-sectional study of DAAs prescriptions written by centers participating in the telemedicine project ECHO -Hospital Italiano of Buenos Aires between January 2016 and February 2017. A total of 143 consecutive prescriptions were evaluated; the global access was 70% (95% CI: 62%-77%). The only factor independently associated with failure to access to treatment was belonging to the public healthcare system [OR 4.98 (95% CI: 2.05- 12.09)] in comparison to belonging to private insurance or HMOs. Patients with hepatitisC who belong to the public healthcare system are 4 times more likely to fail to access to treatment of hepatitisC than patients with private insurance or other kind of insurance.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0375-0906 2255-534X
DOI:	10.1016/j.rgmx.2018.02.009