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This analysis investigates the impact of the health system on the sustainability of point\u2010of\u2010care HCV testing in Australia. Between September 2023 and January 2024, in\u2010depth, semi\u2010structured interviews were conducted with people involved in HCV policymaking in Australia. Data were coded using WHO's Health System Building Blocks framework (i.e., Health Workforce, Health System Financing, Medical Technologies, Leadership and Governance). Thematic analysis examined how the health system supports and hinders the long\u2010term sustainability of HCV point\u2010of\u2010care testing. There were 29 participants working in seven Australian jurisdictions or nationally: 13 from departments of health, six from community\u2010led organisations, five from local health services, and five from pathology. The analysis demonstrates the interrelations between Building Blocks, but governance was consistently foregrounded across each theme. For Health Workforce, the community approach to models of care in Australia bolstered support for HCV testing outside of traditional healthcare settings. For Health System Financing, sustainability was threatened by a lack of long\u2010term funding mechanisms for point\u2010of\u2010care testing. For Leadership and Governance, state and national HCV elimination targets were seen as important to drive point\u2010of\u2010care testing at the local level, especially when they were reflected in services' key performance indicators. Integration into existing health system structures, sustainable funding mechanisms, and strengthened governance frameworks are needed to sustain HCV point\u2010of\u2010care testing in Australia. Study findings are critical to inform a long\u2010term testing strategy in Australia and internationally.<\/jats:p>","DOI":"10.1111\/jvh.70080","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:58:02Z","timestamp":1757707082000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Policymaker Perspectives on the Role of Health Systems in Sustainable Hepatitis C Point\u2010Of\u2010Care Testing in Australia"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9082-9714","authenticated-orcid":false,"given":"Anna","family":"Conway","sequence":"first","affiliation":[{"name":"The Kirby Institute University of New South Wales  Sydney 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