"Quick, simple, and friendly": Understanding the acceptability and accessibility of a nurse and peer-led, mobile model of hepatitis C care adjacent to community corrections in Australia

作者：S. Griffin, Shelley Walker, Jacinta A. Holmes, Bridget Reid, Amanda Callus, Mark Belzer, Jane Dicka, Timothy Papaluca, Anne Craigie, Sophia Schroeder, Kari Lancaster, Margaret Hellard, Mark Stoové, Alexander Thompson, Rebecca Winter · 发表于：International Journal of Drug Policy · 年份：2025 · DOI：10.1016/j.drugpo.2025.104785 · 被引用次数：4 · 研究领域：Hepatitis C virus research、Diabetes Management and Education、Criminal Justice and Corrections Analysis

BACKGROUND: People on community corrections orders are at high-risk for hepatitis C but opportunities for hepatitis C care may be missed due to poor integration of prison-based healthcare. The C No More study is a pilot feasibility study of point-of-care hepatitis C testing and rapid treatment initiation delivered adjacent to community corrections settings in Melbourne, Australia, via a mobile, nurse and peer-led, low-threshold model of care. METHODS: We conducted a mixed methods evaluation using Levesque's Conceptual Framework of Access to Health to understand participants' experiences and perspectives on the accessibility of this model of care. Interviewer-administered surveys were conducted with all participants after enrolment and initial testing, and qualitative in-depth interviews were conducted with a sample of those who completed the survey. RESULTS: 500 participants completed the survey, and 20 participants undertook in-depth interviews. Both quantitative and qualitative results indicated that participants found the C No More service approachable and accessible due to the informal outreach setting, the involvement of peer workers, and the convenient location of service delivery. Participants reported feeling comfortable seeking care in the van and found the service appropriate and easy to engage with due to the fingerstick point-of-care testing and individualised support provided by the nurse. CONCLUSION: Multiple elements of the C No More model increased client-perc...