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FrancoAngeli Journals

Saggi, Studi e Ricerche

N. 55 (2020)

Costo-beneficio del trattamento con i farmaci antivirali ad azione diretta nei consumatori di sostanze con epatite C: una valutazione del percorso di point of care

DOI
https://doi.org/10.3280/mis55-2020oa12158
Inviata
2 luglio 2021
Pubblicato
08-07-2021 — Aggiornato il 28-07-2021

Abstract

Background

Hepatitis C is a disease correlated with severe systemic consequences having elevated social and health costs. The HCV elimination is a public health concern that may be solved reaching DAAs treatment for drug users. The principal aim of this work is to evaluate the cost-benefit of a point of care for HCV treatment of drug users inside Drug abuse services (Ser.D.).

Methods

The study consists in a cost-benefit analysis able to evaluate the “return of health” induced by a point of care for a HCV treatment.

Results

The work shows that the point of care is cost-benefit in comparison with the “traditional” treatment being cost saving for the public health system. The data suggest that the cost of the point of care is corresponding to euros 593,40 while the cost of not treatment of euros 8.679,60 (due to the direct and indirect costs of the disease).

Conclusions

The study demonstrate the point of care is an effective model of care able to reduce the barriers of treatment and to induce a “health return” in term of cost saving for the public health systems. Indeed, the work shows how the point of care may make the elimination HCV plans sustainable for the public health agencies.

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