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Nationwide annual survey of hepatitis care clinical indicators contributing to the equalization of hepatitis care across Japan
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Hiroko Setoyama1,2,
Yasuhito Tanaka1,
Tatsuya Kanto2 |
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1Department of Gastroenterology and Hepatology, Faculty of Life Sciences, Kumamoto University, 2Hepatitis Information Center, National Center for Global Health and Medicine |
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| Background: Nationwide standardized, high-level treatment and care is the key to success in achieving The WHO's goal of eliminating viral hepatitis. In this study, we have surveyed clinical indicators for viral hepatitis and cirrhosis care (hepatitis CIs") to assess the quality of care for liver disease that is provided at the regional core centers and specialized institutions across the country. Method: The annual survey was conducted with all 72 regional core centers and selected 50 specialized institutions. 29 hepatitis CIs consisted of 6 categories (general hepatitis and cirrhosis, hepatitis C, hepatitis B, cirrhosis and subsidy systems) were surveyed past four years. Results: In this survey, most of the regional core centers' CIs had achieved the target value of 80%. In addition, specialized institutions, which vary in scale and facilities, collaborate with each other to provide suitable diagnosis and treatment. Some the unachieved indicators, such as intramural referral to hepatologist or RAS analysis prior to DAA re-treatment, improved over time. These results suggest that feedback of the survey contributed to the improvement and equalization of the quality of patient care. Conclusion: In Japan, standard treatment and care for viral hepatitis is equally provided to patients in need. Nationwide annual survey using CI and its feedback to relevant facility could pave the way to the achievement of viral hepatitis elimination. |
Index Term 1: hepatitis care clinical indicators
Index Term 2: viral hepatitis elimination
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