Successful treatment of patients with hepatitis C in rural and remote Western Australia via telehealth

Nazareth, Saroja; Kontorinis, Nickolas; Muwanwella, Niroshan; Hamilton, Alan; Leembruggen, Nadine; Cheng, Wendy

doi:10.1258/jtt.2012.120612

Cited by 40 publications

(62 citation statements)

References 11 publications

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“…Of the 35 telehealth‐treated patients completing a satisfaction questionnaire, the majority reported that they were happy with the program and would participate again. This study suggested that telehealth is a feasible and effective option for treatment of patients with chronic HCV living in rural and remote areas, reducing the barriers to treatment …”

Section: Statewide Hcv Model Of Carementioning

confidence: 95%

“…The success of telehealth in the management of patients with chronic HCV, who require frequent monitoring because of potentially severe side‐effects from treatment using IFN‐based therapies, have been well documented …”

Section: Statewide Hcv Model Of Carementioning

confidence: 99%

“…A telehealth service for the management of the chronic hepatitis C was established in 2006 in WA. Rural and remote patients were reviewed and treated for HCV by a hepatologist and/or NP from the Royal Perth Hospital using telehealth …”

Section: Statewide Hcv Model Of Carementioning

confidence: 99%

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Statewide hepatitis C model of care for rural and remote regions

Cheng

Nazareth

Flexman

2015

J of Gastro and Hepatol

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The evolution of management of hepatitis C virus (HCV) has seen a majority of patients treated being regarded as cured. Despite this development, uptake of treatment remains low in Australia, and this is particularly true in rural and remote areas. The largest state in Australia, Western Australia (WA), covers an area of 2500 km 2 . As the rural and remote population of WA is scattered in small areas rather than major centers, poor accessibility to remote areas and lack of adequate of medical and nursing resources pose major problems in providing equity of care to patients with chronic HCV. A statewide hepatitis model of care, established in 2009, has led to an increase in identification and treatment of patients living with HCV. Strategies used to facilitate these changes include telehealth, a nurse practitioner model, and general practitioner shared-care model. The statewide program will be modified to meet the changing needs of patients as all-oral treatment regimens become available, with further emphasis being placed on the role of rural and remote health professionals in identifying patients with HCV and initiating and monitoring treatment.

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Section: Statewide Hcv Model Of Carementioning

confidence: 95%

Section: Statewide Hcv Model Of Carementioning

confidence: 99%

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Statewide hepatitis C model of care for rural and remote regions

Cheng

Nazareth

Flexman

2015

J of Gastro and Hepatol

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“…In 2017, the Infectious Diseases Society of America published a position statement supporting the use of evidence-based, cost-effective telehealth technologies for the treatment of infectious diseases 27. To assess treatment outcomes of patients in rural Western Australia with hepatitis C virus (HCV) infection treated using videoconferencing, investigators compared the sustained virologic response rate of patients treated using videoconferencing to that of patients treated in in-person clinics and found no significant difference 15. These results were similar to those of other studies conducted in underserved communities and in the custodial setting 28.…”

Section: Clinical Usementioning

confidence: 99%

Integration of Telehealth Services in the Healthcare System: With Emphasis on the Experience of Patients Living with HIV

Dandachi

Lee

Morgan

et al. 2019

Journal of Investigative Medicine

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The US Health Resources and Services Administration defines telehealth as the use of electronic information and telecommunications technologies to support long-distance clinical healthcare, patient and professional health-related education, public health and health administration. Many studies have supported the use of telehealth to increase convenience to patients, improve patient satisfaction, diminish healthcare disparities, and reduce cost that will ultimately lead to improvement in clinical outcomes and quality of care. However, guaranteeing confidentiality, educating patients and providers, and obtaining insurance reimbursement are some of the challenges that face the implementation of telehealth program. The use of telehealth has been investigated in acute infections, such as endocarditis and chronic infections as in hepatitis C, and HIV. The purpose of this review is to focus on the use of telehealth services for people living with HIV (PLWH). For PLWH, telehealth could be particularly useful by connecting specialty providers to an underserved population and addressing many of the factors identified as barriers to HIV care. To date, the literature supports the use of telehealth for the management of chronic diseases including HIV. Most of the studies showed a high acceptability and positive experience with telehealth services among PLWH. However, fewer studies have evaluated telemedicine for chronic direct care of PLWH. Well-designed studies are needed to show that the implementation of telehealth could improve the HIV care continuum. In addition, future research should focus on identifying the group of patients that could benefit the most from such intervention.

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“…The clinic aligns well with at least two of the Priority Actions identified in The Second Australian National Hepatitis B Strategy 2014-2017 (Australian Government Department of Health, 2014) and the NSW Hepatitis B Strategy 2014-2020 as well as recommendations of the Australian Hepatitis B Patient and Clinical Practice Survey (Hajarizadeh, Wallace, Ngo, & Richmond, 2014) and The Economic Cost and Health Burden of Liver Disease in Australia Report (Deloitte Access Economics, 2013). The nursing practice draws considerably from the successful Australian in rural settings (Nazareth et al, 2013) and in shared care arrangements experience of nurse models of hepatitis C care in a variety of settings, e.g. tertiary based liver clinics, prison settings, (Lloyd et al, 2013), in opioid substitution settings (Alavi et al, 2013).…”

Section: Discussionmentioning

confidence: 99%