Innovative Linkage to Care for Patients With Hepatitis C Virus Infection

Castrejon, Mariana; Ramirez, Samantha; Klausner, Jeffrey D.; Javanbakht, Marjan; Saab, Sammy

doi:10.1093/ofid/ofw172.303

Open Forum Infectious Diseases

2016

DOI: 10.1093/ofid/ofw172.303

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Innovative Linkage to Care for Patients With Hepatitis C Virus Infection

Mariana Castrejon

Samantha Ramirez²,

Jeffrey D. Klausner

et al.

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“…[7][8][9] However, linking people to care can help engage them in treatment. 10,11 Health departments or other organizations wishing to help link people with HCV infection to care might consider various approaches depending on available resources and capacity, such as sending letters, making telephone calls, sending text messages, or conducting community-based case finding. Sending letters can reach a large number of people relatively quickly, and telephone calls allow for tailored guidance and advice.…”

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Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

et al. 2020

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Objectives Hepatitis C virus (HCV) infection is a serious health problem in New York City. Although curative treatments are available, many people are out of care. The New York City Department of Health and Mental Hygiene (DOHMH) used surveillance data and various outreach methods to attempt to link to care people diagnosed with HCV infection from 2010 through 2015. Methods We randomly assigned people out of care (ie, no HCV test >6 months after first report) to 4 outreach groups: no outreach (control group); letter only; letter and telephone call; and letter, text message, and telephone call. Three months after outreach ended, we analyzed surveillance data to identify people with a subsequent HCV RNA or genotype test suggesting linkage to care. Results Of 2626 selected people, 199 (7.6%) had a subsequent HCV test. People in all 3 outreach groups had higher odds of a subsequent test than people in the control group (letter only: adjusted odds ratio [aOR] = 1.81 [95% CI, 1.18-2.91]; letter and telephone: aOR = 3.11 [95% CI, 1.67-5.79]; letter, text, and telephone: aOR = 3.17 [95% CI, 1.48-6.51]). People in the letter and telephone group had higher odds of a subsequent test than people in the letter-only group (aOR = 1.72; 95% CI, 1.04-2.74). Most people in the letter and telephone (136/200, 68.0%) and the letter, text, and telephone (71/99, 71.7%) groups could not be reached, primarily because telephone numbers were incorrect or out of service. Conclusion Reaching out to people soon after first report or prioritizing groups in which more recent contact information can be found might improve outcomes of future outreach.

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Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

et al. 2020

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Innovative Linkage to Care for Patients With Hepatitis C Virus Infection

Cited by 1 publication

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Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

Health Department Efforts to Increase Hepatitis C RNA Testing Among People Appearing Out of Care: Comparison of Outreach Approaches, New York City, 2017

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