The ECHO model proved to be a useful tool to increase clinicians' self-effectiveness for care of patients with Hepatitis C in Argentina.

摘要: The ECHO model was developed to expand access medical care for populations with HCV infection in underserved areas. We aimed compare treatment outcomes community-based clinics the Austral University Hospital (AUH) and assess improvement physician knowledge skills. In October 2015, we established an clinic at AUH Buenos Aires. To evaluate impact of this programme, conducted a prospective cohort study comparing healthcare providers from different Argentinean provinces. A survey evaluating skills competence administered, results were compared. primary endpoint sustained virologic response (SVR) under direct-acting antivirals. Since implementation clinics, total 25 physicians participated least one session (median 10.0; IQR 3.0-18.0). SVR rates (n = 437 patients) 94.2% (95% CI 90.4-96.8) patients treated (n = 227/242) 96.4% 92.7-98.5) those sites (n = 188/195), nonsignificant difference between sites, 2.2% -0.24-0.06; P = 0.4). also found significant all evaluated abilities. Replicating helped improve participants' management achieving similar rates. demonstrated be effective intervention able multiply treatment, critical barrier that needs solved if are committed WHO goals eliminate by 2030.