title: Statewide hepatitis C model of care for rural and remote regions.
abstract: 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.
authors: Liver Service, Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia; School of Medical Sciences, Faulty of Health, Engineering and Science, Edith Cowan University, Perth, Western Australia, Australia.
authors: Wendy
authors: W
authors: Cheng
authors: Saroj
authors: S
authors: Nazareth
authors: James Patrick
authors: JP
authors: Flexman
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data / Q000639:trends; D006295:Health Resources / Q000600:supply & distribution; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D019698:Hepatitis C, Chronic / Q000453:epidemiology* / Q000628:therapy*; D006801:Humans; D011787:Quality of Health Care / Q000706:statistics & numerical data / Q000639:trends; D019114:Remote Consultation; D019035:Rural Health Services / Q000706:statistics & numerical data* / Q000639:trends*; D012424:Rural Population / Q000706:statistics & numerical data; D014904:Western Australia / Q000453:epidemiology
keywords: hepatitis C; model of care; rural; telehealth