This project will utilise the notification process as a point of intervention to work with primary practitioners (GP) by contacting them directly when a notification of hepatitis C exposure is received by the Tasmanian department of Health (DoH). A designated role will exist within DoH of a specialist HCV health worker to contact GPs to provide supported assistance in the process of the follow up hepatitis C diagnoses with patients. The study will evaluate whether active follow up of providers with enhanced case management is effective in having patients linked to hepatitis C treatment compared to current standard of care of surveillance for new notifications. The study will also compare the cost-effectiveness of this approach compared to current standard of care after one of their patients is notified with a positive hepatitis C antibody result.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
170
The health care worker will offer support to the GP for all aspects of the cascade of hepatitis C care including: * Further testing advice * Awareness that treatment can be prescribed by the general practitioner * Conducting pre-treatment work-up assessment * DAA prescription guidelines, including linkage to specialist consultation * Providing treatment support * Advising on testing process for cure * Advising on post-cure management including methods of follow-up to manage risks (e.g. harm minimisation, reducing re-infection risk, opioid substitution therapy) * Linking GP to resources for patients with cirrhosis or other concerns to specialist support for ongoing management. The GP will be offered the option of the DoH specialist to contact the patient directly with the GP's consent to notify them of their result and to educate them on testing and treatment options and referral back to their GP.
Tasmanian Department of Health
Hobart, Tasmania, Australia
RECRUITINGProportion of cases notified with hepatitis C who commence hepatitis C treatment
The primary outcome will be the proportion of cases notified with hepatitis C who commence hepatitis C treatment within 12 weeks of initial contact. This will be assessed using the information provided by practitioners at the 12-week follow-up phone call and will be compared across the two arms.
Time frame: The study follow up period is 12 weeks
Proportion of people diagnosed with hepatitis C with a documented HCV RNA test result
The the proportion of cases notified with hepatitis C with documented HCV RNA results within 12 weeks of initial contact. This will be assessed using lab data and information provided by practitioners.
Time frame: The study follow up period is 12 weeks
Proportion of people diagnosed with hepatitis C completing treatment work-up blood tests
The the proportion of HCV RNA positive cases who completed treatment work up blood tests within 12 weeks of initial contact. This will be assessed using lab data and information provided by practitioners.
Time frame: The study follow up period is 12 weeks
Proportion of people diagnosed with hepatitis C completing an appropriate course of hepatitis C treatment as prescribed
The the proportion of HCV cases who complete an appropriate course of prescribed hepatitis C treatment..
Time frame: The study follow up period is 12 weeks
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