Implementation of the ECHO® telementoring model for the treatment of patients with hepatitis C.

作者: Sebastián Marciano , Leila Haddad , Fernando Plazzotta , Ezequiel Mauro , Sergio Terraza

DOI: 10.1002/JMV.24668

关键词: HepatitisImmunologyVirologyHepatitis CCompetence (human resources)Hcv treatmentGeneral interestHepatologyHealthcare providersFamily medicineInternal medicineMedicineAlternative medicine

摘要: Objectives To implement the ECHO telementoring model for hepatitis C and to evaluate its outcomes in health providers. Methods Following model, an teleECHO clinic was established at Hospital Italiano Argentina. The provides support training physicians from Patagonia who treat patients with C. In order outcomes, completed a survey focused on skills competence before after six months of participating project. consisted 10 questions, which participants rated 1 7 (1 no ability; highest ability). To analyze difference participation project, Wilcoxon signed-rank test used. Results During first implementation total 14 12 sites agreed participate survey. median age 42 years. Participants' primary specialties were Hepatology (55%), Infectious Diseases (25%), General Practice (10%), other (10%). A significant improvement observed all evaluated fields month clinic, namely fibrosis staging, determining appropriate candidates treatment, selecting HCV treatment. addition, their general interest increased. Conclusions We successfully replicated implemented Physicians improved ability provide best practice care Hepatitis This article is protected by copyright. All rights reserved

参考文章(12)
Nora Gabriela Cejas, Federico G. Villamil, Javier C. Lendoire, Viviana Tagliafichi, Arturo Lopez, Daniela Hansen Krogh, Carlos A. Soratti, Liliana Bisigniano, Improved waiting-list outcomes in Argentina after the adoption of a model for end-stage liver disease-based liver allocation policy. Liver Transplantation. ,vol. 19, pp. 711- 720 ,(2013) , 10.1002/LT.23665
Khayriyyah Mohd Hanafiah, Justina Groeger, Abraham D. Flaxman, Steven T. Wiersma, Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. ,vol. 57, pp. 1333- 1342 ,(2013) , 10.1002/HEP.26141
Joseph F. Perz, Gregory L. Armstrong, Leigh A. Farrington, Yvan J.F. Hutin, Beth P. Bell, The contributions of hepatitis B virus and hepatitis C virus infections to cirrhosis and primary liver cancer worldwide Journal of Hepatology. ,vol. 45, pp. 529- 538 ,(2006) , 10.1016/J.JHEP.2006.05.013
Sanjeev Arora, Karla Thornton, Miriam Komaromy, Summers Kalishman, Joanna Katzman, Daniel Duhigg, Demonopolizing Medical Knowledge Academic Medicine. ,vol. 89, pp. 30- 32 ,(2014) , 10.1097/ACM.0000000000000051
Sanjeev Arora, Summers Kalishman, Karla Thornton, Denise Dion, Glen Murata, Paulina Deming, Brooke Parish, John Brown, Miriam Komaromy, Kathleen Colleran, Arthur Bankhurst, Joanna Katzman, Michelle Harkins, Luis Curet, Ellen Cosgrove, Wesley Pak, Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care. Hepatology. ,vol. 52, pp. 1124- 1133 ,(2010) , 10.1002/HEP.23802
Rajeev M. Menon, Prajakta S. Badri, Tianli Wang, Akshanth R. Polepally, Jiuhong Zha, Amit Khatri, Haoyu Wang, Beibei Hu, Eoin P. Coakley, Thomas J. Podsadecki, Walid M. Awni, Sandeep Dutta, Drug-drug interaction profile of the all-oral anti-hepatitis C virus regimen of paritaprevir/ritonavir, ombitasvir, and dasabuvir Journal of Hepatology. ,vol. 63, pp. 20- 29 ,(2015) , 10.1016/J.JHEP.2015.01.026
Jean–Michel Pawlotsky, New Hepatitis C Therapies: The Toolbox, Strategies, and Challenges Gastroenterology. ,vol. 146, pp. 1176- 1192 ,(2014) , 10.1053/J.GASTRO.2014.03.003
Amal Ahmed Mohamed, Tamer A Elbedewy, Magdy El-Serafy, Naglaa El-Toukhy, Wesam Ahmed, Zaniab Ali El Din, None, Hepatitis C virus: A global view World Journal of Hepatology. ,vol. 7, pp. 2676- 2680 ,(2015) , 10.4254/WJH.V7.I26.2676
Gaetano Bertino, Annalisa Ardiri, Maria Proiti, Giuseppe Rigano, Evelise Frazzetto, Shirin Demma, Maria Irene Ruggeri, Laura Scuderi, Giulia Malaguarnera, Nicoletta Bertino, Venerando Rapisarda, Isidoro Di Carlo, Adriana Toro, Federico Salomone, Mariano Malaguarnera, Emanuele Bertino, Michele Malaguarnera, Chronic hepatitis C: This and the new era of treatment World Journal of Hepatology. ,vol. 8, pp. 92- 106 ,(2016) , 10.4254/WJH.V8.I2.92
Tianyan Chen, Norah Terrault, Treatment of chronic hepatitis C in patients with cirrhosis. Current Opinion in Gastroenterology. ,vol. 32, pp. 143- 151 ,(2016) , 10.1097/MOG.0000000000000263