Guidelines for the management of hepatitis C in general practice: a semi-qualitative interview survey of GPs’ views regarding content and implementation

Cullen, William R.; O'Leary, M; Langton, Deirdre; Stanley, June; Kelly, Yvonne; Bury, Gerard

doi:10.1007/bf03169145

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Effective implementation of clinical guidelines such as these is dependent on adopting multifaceted interventions targeting different barriers to change (36). Interviews with a sample of GPs in the Dublin area prior to the implementation of the clinical guidelines for the management of HCV highlighted lack of resources at a practice level, attitudes of GPs and of patients towards HCV, and lack of time as the main barriers to effective implementation, and identified the provision of additional nursing support, the presentation of guidelines in more convenient formats, and raised awareness of HCV and related issues at a practice level as the main interventions to facilitate effective implementation (20).…”

Section: How Can We Do Better?mentioning

confidence: 99%

“…To address this issue, a regional initiative (the Dublin Area Hepatitis C in General Practice Initiative) was established in late 2000. This project undertook to develop clinical guidelines for the management of HCV among current or former injecting drug users attending general practice, to implement the guidelines using a complex intervention informed by consultation with GPs, and to evaluate this intervention in a cluster randomized controlled trial (19,20).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management of hepatitis C among drug users attending general practice in Ireland: Baseline data from the Dublin Area Hepatitis C in General Practice Initiative

Cullen

Stanley

Langton

et al. 2007

European Journal of General Practice

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Section: How Can We Do Better?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of hepatitis C among drug users attending general practice in Ireland: Baseline data from the Dublin Area Hepatitis C in General Practice Initiative

Cullen

Stanley

Langton

et al. 2007

European Journal of General Practice

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“…Previous research has also identified nursing support as a critical facilitator to increasing primary care HCV testing and as effective in supporting adherence to HCV testing and treatment guidelines. 26…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Increasing uptake of hepatitis C virus infection case-finding, testing, and treatment in primary care: evaluation of the HepCATT (Hepatitis C Assessment Through to Treatment) trial

et al. 2020

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BackgroundHepatitis C virus (HCV) infection is a key cause of liver disease but can be cured in more than 95% of patients. Around 70 000 people in England may have undiagnosed HCV infection and many more will not have been treated. Interventions to increase case-finding in primary care are likely to be cost-effective; however, evidence of effective interventions is lacking. The Hepatitis C Assessment Through to Treatment (HepCATT) trial assessed whether a complex intervention in primary care could increase case-finding, testing, and treatment of HCV.AimTo investigate the feasibility and acceptability of the HepCATT intervention.Design and settingA qualitative study with primary care practice staff from practices in the south west of England taking part in the HepCATT trial.MethodSemi-structured interviews were carried out with GPs, nurses, and practice staff to ascertain their views of the HepCATT intervention at least 1 month after implementing the intervention in their practice. Normalisation process theory, which outlines the social processes involved in intervention implementation, informed thematic data analysis.ResultsParticipants appreciated the HepCATT intervention for increasing knowledge and awareness of HCV. Although some initial technical difficulties were reported, participants saw the benefits of using the audit tool to systematically identify patients with HCV infection risk factors and found it straightforward to use. Participants valued the opportunity to discuss HCV testing with patients, especially those who may not have been previously aware of HCV risk. Future implementation should consider fully integrating software systems and additional resources to screen patient lists and conduct tests.ConclusionWhen supported by a complex intervention, primary care can play a crucial role in identifying and caring for patients with HCV infection, to help stem the HCV epidemic, and prevent HCV-related illness.

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Psychosocial Interventions for Problem Alcohol Use in Primary Care Settings (PINTA): Baseline Feasibility Data

Klimas¹,

Henihan²,

McCombe³

et al. 2015

Journal of Dual Diagnosis

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Guidelines for the management of hepatitis C in general practice: a semi-qualitative interview survey of GPs’ views regarding content and implementation

Abstract: Interviewing intended recipients may be an important step in ensuring clinical practice guidelines are effectively implemented.

Cited by 3 publications

References 24 publications

Management of hepatitis C among drug users attending general practice in Ireland: Baseline data from the Dublin Area Hepatitis C in General Practice Initiative

Management of hepatitis C among drug users attending general practice in Ireland: Baseline data from the Dublin Area Hepatitis C in General Practice Initiative

Increasing uptake of hepatitis C virus infection case-finding, testing, and treatment in primary care: evaluation of the HepCATT (Hepatitis C Assessment Through to Treatment) trial

Psychosocial Interventions for Problem Alcohol Use in Primary Care Settings (PINTA): Baseline Feasibility Data

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