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Internal medicine journal · Aug 2021
Use of telehealth to increase treatment access for prisoners with chronic hepatitis C.
- Abir Halder, Vicky Guizhi Li, Marilyn Sebastian, Saroja Nazareth, Rhoda Tuma, Wendy Cheng, and Adam Doyle.
- Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia.
- Intern Med J. 2021 Aug 1; 51 (8): 1344-1347.
AbstractPrisons remain a priority population in the treatment of hepatitis C (HCV) in Australia. To improve treatment uptake, we created a novel telehealth-based model of care for prisoners with HCV that is both cost-effective and requires minimal infrastructure. Over a period of 30 months, a total of 332 patients was initiated on treatment, achieving a per protocol sustained virological response (SVR12) rate of 91%. A large number (29%) of patients was lost to follow up after release from prison - highlighting the vital opportunity for HCV treatment during incarceration. We propose that similar models of care can be used to improve HCV treatment access for other priority populations in Australia.© 2021 Royal Australasian College of Physicians.
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