Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis
Abstract Objective: To determine what percentage of Victorians with a history of notified hepatitis C exposure received appropriate follow‐up diagnostic services between 2001 and 2012. Methods: Individual notification data and aggregate Medicare and supplementary testing data were entered into a com...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-04-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12560 |
| _version_ | 1827849234706071552 |
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| author | Kathryn Snow Nick Scott Hazel J. Clothier Jennifer H. MacLachlan Benjamin Cowie |
| author_facet | Kathryn Snow Nick Scott Hazel J. Clothier Jennifer H. MacLachlan Benjamin Cowie |
| author_sort | Kathryn Snow |
| collection | DOAJ |
| description | Abstract Objective: To determine what percentage of Victorians with a history of notified hepatitis C exposure received appropriate follow‐up diagnostic services between 2001 and 2012. Methods: Individual notification data and aggregate Medicare and supplementary testing data were entered into a compartmental transition model, which was used to estimate the percentage of people with a hepatitis C notification who were yet to receive either a negative diagnostic test for viral nucleic acid, or a test for viral genotype, at the end of 2012. Results: We estimate that 58.2% (uncertainty interval: 42.2%, 72.4%) of Victorians with a hepatitis C notification between 2001 and 2012 did not receive either a negative test for viral nucleic acid or a viral genotyping test during the study period. At the end of 2012, we estimate there were approximately 20,400 Victorians living with hepatitis C antibodies who were yet to receive testing, of which approximately 9,300 would have been aged 45 years or older. Conclusions: A majority of people living with HCV antibodies in Victoria had not received appropriate secondary diagnostic services as of the end of 2012. Implications: As improved therapeutic options become available for people living with chronic hepatitis C, measures to support appropriate follow‐up of people with suspected or confirmed chronic infections via primary care services will be required. |
| first_indexed | 2024-03-12T10:01:16Z |
| format | Article |
| id | doaj.art-41e615adf9e840f29f40df3fe0247253 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T10:01:16Z |
| publishDate | 2017-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-41e615adf9e840f29f40df3fe02472532023-09-02T11:36:28ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052017-04-0141219319810.1111/1753-6405.12560Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysisKathryn Snow0Nick Scott1Hazel J. Clothier2Jennifer H. MacLachlan3Benjamin Cowie4Melbourne School of Population and Global Health University of Melbourne VictoriaCentre for Population Health, Burnet Institute VictoriaMelbourne School of Population and Global Health University of Melbourne VictoriaWHO Collaborating Centre for Viral Hepatitis, Victorian Infectious Diseases Reference Laboratory, The Doherty Institute VictoriaWHO Collaborating Centre for Viral Hepatitis, Victorian Infectious Diseases Reference Laboratory, The Doherty Institute VictoriaAbstract Objective: To determine what percentage of Victorians with a history of notified hepatitis C exposure received appropriate follow‐up diagnostic services between 2001 and 2012. Methods: Individual notification data and aggregate Medicare and supplementary testing data were entered into a compartmental transition model, which was used to estimate the percentage of people with a hepatitis C notification who were yet to receive either a negative diagnostic test for viral nucleic acid, or a test for viral genotype, at the end of 2012. Results: We estimate that 58.2% (uncertainty interval: 42.2%, 72.4%) of Victorians with a hepatitis C notification between 2001 and 2012 did not receive either a negative test for viral nucleic acid or a viral genotyping test during the study period. At the end of 2012, we estimate there were approximately 20,400 Victorians living with hepatitis C antibodies who were yet to receive testing, of which approximately 9,300 would have been aged 45 years or older. Conclusions: A majority of people living with HCV antibodies in Victoria had not received appropriate secondary diagnostic services as of the end of 2012. Implications: As improved therapeutic options become available for people living with chronic hepatitis C, measures to support appropriate follow‐up of people with suspected or confirmed chronic infections via primary care services will be required.https://doi.org/10.1111/1753-6405.12560hepatitis Chealth servicesmathematical modelliver disease |
| spellingShingle | Kathryn Snow Nick Scott Hazel J. Clothier Jennifer H. MacLachlan Benjamin Cowie Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis Australian and New Zealand Journal of Public Health hepatitis C health services mathematical model liver disease |
| title | Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis |
| title_full | Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis |
| title_fullStr | Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis |
| title_full_unstemmed | Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis |
| title_short | Limited provision of diagnostic services to Victorians living with hepatitis C antibodies, 2001–2012: a multi‐level modelling analysis |
| title_sort | limited provision of diagnostic services to victorians living with hepatitis c antibodies 2001 2012 a multi level modelling analysis |
| topic | hepatitis C health services mathematical model liver disease |
| url | https://doi.org/10.1111/1753-6405.12560 |
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