Integrating primary and secondary care to optimize hepatitis C treatment: development and evaluation of a multidisciplinary educational Masterclass series.


Journal

The Journal of antimicrobial chemotherapy
ISSN: 1460-2091
Titre abrégé: J Antimicrob Chemother
Pays: England
ID NLM: 7513617

Informations de publication

Date de publication:
01 11 2019
Historique:
entrez: 30 11 2019
pubmed: 30 11 2019
medline: 23 7 2020
Statut: ppublish

Résumé

It is increasingly being recognized that the elimination of HCV requires a multidisciplinary approach and effective cooperation between primary and secondary care. As part of a project (HepCare Europe) to integrate primary and secondary care for patients at risk of or infected with HCV, we developed a multidisciplinary educational Masterclass series for healthcare professionals (HCPs) working in primary care in Dublin and Bucharest. This article aims to describe and evaluate the series and examine how this model might be implemented into practice. GPs and other HCPs working in primary care, addiction treatment services and NGOs were invited to eight 1 day symposia (HCV Masterclass series), examining the burden and management of HCV in key populations. Peer-support sessions were also conducted, to give people affected by HCV and community-based organizations working with those directly affected, an update on the latest developments in HCV treatment. One hundred percent of participants 'strongly agreed' or 'agreed' that the Masterclass helped them to appreciate the role of integrated services in 'the management of patients with HCV'. One hundred percent of participants indicated the importance of a 'designated nurse to liaise with hospital services'. An improvement of knowledge regarding HCV management of patients with high-risk behaviour was registered at the end of the course. Integrated approaches to healthcare and improving the knowledge of HCPs and patients of the latest developments in HCV treatment are very important strategies that can enhance the HCV care pathway and treatment outcomes.

Sections du résumé

BACKGROUND
It is increasingly being recognized that the elimination of HCV requires a multidisciplinary approach and effective cooperation between primary and secondary care.
OBJECTIVES
As part of a project (HepCare Europe) to integrate primary and secondary care for patients at risk of or infected with HCV, we developed a multidisciplinary educational Masterclass series for healthcare professionals (HCPs) working in primary care in Dublin and Bucharest. This article aims to describe and evaluate the series and examine how this model might be implemented into practice.
METHODS
GPs and other HCPs working in primary care, addiction treatment services and NGOs were invited to eight 1 day symposia (HCV Masterclass series), examining the burden and management of HCV in key populations. Peer-support sessions were also conducted, to give people affected by HCV and community-based organizations working with those directly affected, an update on the latest developments in HCV treatment.
RESULTS
One hundred percent of participants 'strongly agreed' or 'agreed' that the Masterclass helped them to appreciate the role of integrated services in 'the management of patients with HCV'. One hundred percent of participants indicated the importance of a 'designated nurse to liaise with hospital services'. An improvement of knowledge regarding HCV management of patients with high-risk behaviour was registered at the end of the course.
CONCLUSIONS
Integrated approaches to healthcare and improving the knowledge of HCPs and patients of the latest developments in HCV treatment are very important strategies that can enhance the HCV care pathway and treatment outcomes.

Identifiants

pubmed: 31782501
pii: 5645638
doi: 10.1093/jac/dkz453
pmc: PMC6883391
doi:

Substances chimiques

Antiviral Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

v24-v30

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy.

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Auteurs

Geoff McCombe (G)

UCD School of Medicine, Dublin, Ireland.

Bashayer Almaazmi (B)

UCD School of Medicine, Dublin, Ireland.

Walter Cullen (W)

UCD School of Medicine, Dublin, Ireland.

John S Lambert (JS)

UCD School of Medicine, Dublin, Ireland.
Mater Misericordiae University Hospital, Dublin, Ireland.

Gordana Avramovic (G)

UCD School of Medicine, Dublin, Ireland.

Carol Murphy (C)

Mater Misericordiae University Hospital, Dublin, Ireland.

Mairead O'Connor (M)

Mater Misericordiae University Hospital, Dublin, Ireland.

Nicola Perry (N)

Community Response Primary Alcohol and Hepatitis C Service, Dublin, Ireland.

Irina Ianache (I)

Victor Babes Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania.

Stefan Lazar (S)

Victor Babes Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Tina McHugh (T)

Mater Misericordiae University Hospital, Dublin, Ireland.

Julian Surey (J)

Institute of Global Health, University College London, London, UK.

Juan Macías (J)

Infectious Diseases and Microbiology Unit, Hospital Universitario de Valme, Seville, Spain.

Peter Vickerman (P)

School of Social and Community Medicine, University of Bristol, Bristol, UK.

Cristiana Oprea (C)

Victor Babes Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

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Classifications MeSH