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Health promotion and public health
Qualitative study outlines strategies promoting linkage to care in homeless and marginally housed patients with hepatitis C
  1. Jasleen Singh1,
  2. Sammy Saab2
  1. 1 Medicine and Surgery, UCLA, Los Angeles, California, USA
  2. 2 Surgery and Nursing, UCLA, Los Angeles, California, USA
  1. Correspondence to Professor Sammy Saab, Nursing, and Surgery, UCLA, Los Angeles, California, USA; ssaab{at}

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Commentary on: Conti J, Dryden E, Fincke BG, Dunlap S, McInnes DK. Innovative Approaches to Engaging Homeless and Marginally Housed Patients in Care: a Case Study of Hepatitis C. J Gen Intern Med. 2022 Jul 25. doi: 10.1007/s11606-022-07708-w. Epub ahead of print.

Implications for practice and research

  • Homeless and marginally housed patients are at increased risk of hepatitis C virus (HCV) infection and face multiple barriers to healthcare access. Clinical practice strategies to facilitate HCV treatment are urgently needed.

  • Future research to evaluate screening and treatment strategies engaging this population is warranted, to eliminate HCV.


Direct-acting antiviral medications (DAAs) have revolutionised the treatment of hepatitis C virus (HCV), but access to HCV care remains a problem for homeless and marginally housed (HAMH) individuals who are disproportionately infected by HCV. Many HAMH individuals may not be involved in the traditional health care model, so provider requirements, insurance restrictions and psychosocial barriers may prevent access to HCV treatment. When …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.