Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers
In this study of patients with hepatitis C virus infection residing in rural areas or prisons in New Mexico, treatment by primary care physicians (PCPs) trained and supported by university specialists through videoconferencing resulted in high rates of sustained virologic response. The Extension for...
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| Veröffentlicht in: | The New England journal of medicine 2011-06, Vol.364 (23), p.2199-2207 |
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| container_title | The New England journal of medicine |
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| creator | Arora, Sanjeev Thornton, Karla Murata, Glen Deming, Paulina Kalishman, Summers Dion, Denise Parish, Brooke Burke, Thomas Pak, Wesley Dunkelberg, Jeffrey Kistin, Martin Brown, John Jenkusky, Steven Komaromy, Miriam Qualls, Clifford |
| description | In this study of patients with hepatitis C virus infection residing in rural areas or prisons in New Mexico, treatment by primary care physicians (PCPs) trained and supported by university specialists through videoconferencing resulted in high rates of sustained virologic response.
The Extension for Community Healthcare Outcomes (ECHO) model was developed by the University of New Mexico (UNM) Health Sciences Center as a platform for both delivery of services and outcomes research.
1
,
2
The objectives of the ECHO program are to improve the access of minorities and other underserved populations to best-practice care for hepatitis C virus (HCV) infection, to determine the safety and efficacy of treatment for HCV infection based on the ECHO model in rural communities, and to compare the effectiveness of the ECHO model with that of university-based clinic treatment. The ECHO program increases the accessibility of populations . . . |
| doi_str_mv | 10.1056/NEJMoa1009370 |
| format | Article |
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The Extension for Community Healthcare Outcomes (ECHO) model was developed by the University of New Mexico (UNM) Health Sciences Center as a platform for both delivery of services and outcomes research.
1
,
2
The objectives of the ECHO program are to improve the access of minorities and other underserved populations to best-practice care for hepatitis C virus (HCV) infection, to determine the safety and efficacy of treatment for HCV infection based on the ECHO model in rural communities, and to compare the effectiveness of the ECHO model with that of university-based clinic treatment. The ECHO program increases the accessibility of populations . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa1009370</identifier><identifier>PMID: 21631316</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Academic Medical Centers ; Adult ; Analysis of Variance ; Antiviral Agents - therapeutic use ; Biological and medical sciences ; Chronic infection ; Clinics ; Community Health Services ; Female ; General aspects ; Genotype & phenotype ; Genotypes ; Health facilities ; Health sciences ; Health Services Accessibility ; Hepacivirus - drug effects ; Hepacivirus - genetics ; Hepatitis ; Hepatitis C ; Hepatitis C, Chronic - drug therapy ; Hepatitis C, Chronic - therapy ; Hepatitis C, Chronic - virology ; Human viral diseases ; Humans ; Infections ; Infectious diseases ; Interdisciplinary aspects ; Interferon-alpha - therapeutic use ; Laboratories ; Liver cancer ; Male ; Medical sciences ; Medically Underserved Area ; Middle Aged ; Minority & ethnic groups ; New Mexico ; Patients ; Physicians, Primary Care ; Polyethylene Glycols - therapeutic use ; Primary care ; Prisoners ; Prisons ; Prospective Studies ; Recombinant Proteins ; Rural areas ; Rural Health Services ; Telemedicine ; Treatment Outcome ; Urban areas ; Videoconferencing ; Viral diseases ; Viral hepatitis</subject><ispartof>The New England journal of medicine, 2011-06, Vol.364 (23), p.2199-2207</ispartof><rights>Copyright © 2011 Massachusetts Medical Society. All rights reserved.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-6ba8265a43e4ec797b48d6634420da7acb77eb790f4328b1d09b204f46e5c0223</citedby><cites>FETCH-LOGICAL-c484t-6ba8265a43e4ec797b48d6634420da7acb77eb790f4328b1d09b204f46e5c0223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1009370$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/871184417?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2757,2758,26102,27923,27924,52381,54063,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24238506$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21631316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arora, Sanjeev</creatorcontrib><creatorcontrib>Thornton, Karla</creatorcontrib><creatorcontrib>Murata, Glen</creatorcontrib><creatorcontrib>Deming, Paulina</creatorcontrib><creatorcontrib>Kalishman, Summers</creatorcontrib><creatorcontrib>Dion, Denise</creatorcontrib><creatorcontrib>Parish, Brooke</creatorcontrib><creatorcontrib>Burke, Thomas</creatorcontrib><creatorcontrib>Pak, Wesley</creatorcontrib><creatorcontrib>Dunkelberg, Jeffrey</creatorcontrib><creatorcontrib>Kistin, Martin</creatorcontrib><creatorcontrib>Brown, John</creatorcontrib><creatorcontrib>Jenkusky, Steven</creatorcontrib><creatorcontrib>Komaromy, Miriam</creatorcontrib><creatorcontrib>Qualls, Clifford</creatorcontrib><title>Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>In this study of patients with hepatitis C virus infection residing in rural areas or prisons in New Mexico, treatment by primary care physicians (PCPs) trained and supported by university specialists through videoconferencing resulted in high rates of sustained virologic response.
The Extension for Community Healthcare Outcomes (ECHO) model was developed by the University of New Mexico (UNM) Health Sciences Center as a platform for both delivery of services and outcomes research.
1
,
2
The objectives of the ECHO program are to improve the access of minorities and other underserved populations to best-practice care for hepatitis C virus (HCV) infection, to determine the safety and efficacy of treatment for HCV infection based on the ECHO model in rural communities, and to compare the effectiveness of the ECHO model with that of university-based clinic treatment. The ECHO program increases the accessibility of populations . . .</description><subject>Academic Medical Centers</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Chronic infection</subject><subject>Clinics</subject><subject>Community Health Services</subject><subject>Female</subject><subject>General aspects</subject><subject>Genotype & phenotype</subject><subject>Genotypes</subject><subject>Health facilities</subject><subject>Health sciences</subject><subject>Health Services Accessibility</subject><subject>Hepacivirus - drug effects</subject><subject>Hepacivirus - genetics</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>Hepatitis C, Chronic - drug therapy</subject><subject>Hepatitis C, Chronic - therapy</subject><subject>Hepatitis C, Chronic - virology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Interdisciplinary aspects</subject><subject>Interferon-alpha - therapeutic use</subject><subject>Laboratories</subject><subject>Liver cancer</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medically Underserved Area</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>New Mexico</subject><subject>Patients</subject><subject>Physicians, Primary Care</subject><subject>Polyethylene Glycols - therapeutic use</subject><subject>Primary care</subject><subject>Prisoners</subject><subject>Prisons</subject><subject>Prospective Studies</subject><subject>Recombinant Proteins</subject><subject>Rural areas</subject><subject>Rural Health Services</subject><subject>Telemedicine</subject><subject>Treatment Outcome</subject><subject>Urban areas</subject><subject>Videoconferencing</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10ElLxDAUB_Agio7L0asEQTxVs7wm7VHKqCPqeBi9ljR9hQ7TZkxaYb69lRlXMJdH4Mdb_oQcc3bBWawuH8d3D85wxlKp2RYZ8VjKCICpbTJiTCQR6FTukf0Q5mx4HNJdsie4klxyNSLTad9Z12CgrqIzj6ZrsO1o5Ty9xaXp6q4ONKMvte8DnbQV2q52LS1W9MnXjfErmhmPw8e91SX6cEh2KrMIeLSpB-T5ejzLbqP76c0ku7qPLCTQRaowiVCxAYmAVqe6gKRUSgIIVhptbKE1FjplFUiRFLxkaSEYVKAwtkwIeUDO132X3r32GLq8qYPFxcK06PqQJ5rL4fBYDfL0j5y73rfDch-IJwBcDyhaI-tdCB6rfLk-L-cs_8g5_5Xz4E82TfuiwfJLfwY7gLMNMMGaReVNa-vw7UDIJGY_XNOEvMV588_AdyLijs8</recordid><startdate>20110609</startdate><enddate>20110609</enddate><creator>Arora, Sanjeev</creator><creator>Thornton, Karla</creator><creator>Murata, Glen</creator><creator>Deming, Paulina</creator><creator>Kalishman, Summers</creator><creator>Dion, Denise</creator><creator>Parish, Brooke</creator><creator>Burke, Thomas</creator><creator>Pak, Wesley</creator><creator>Dunkelberg, Jeffrey</creator><creator>Kistin, Martin</creator><creator>Brown, John</creator><creator>Jenkusky, Steven</creator><creator>Komaromy, Miriam</creator><creator>Qualls, Clifford</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20110609</creationdate><title>Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers</title><author>Arora, Sanjeev ; Thornton, Karla ; Murata, Glen ; Deming, Paulina ; Kalishman, Summers ; Dion, Denise ; Parish, Brooke ; Burke, Thomas ; Pak, Wesley ; Dunkelberg, Jeffrey ; Kistin, Martin ; Brown, John ; Jenkusky, Steven ; Komaromy, Miriam ; Qualls, Clifford</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-6ba8265a43e4ec797b48d6634420da7acb77eb790f4328b1d09b204f46e5c0223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Academic Medical Centers</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Antiviral Agents - 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The Extension for Community Healthcare Outcomes (ECHO) model was developed by the University of New Mexico (UNM) Health Sciences Center as a platform for both delivery of services and outcomes research.
1
,
2
The objectives of the ECHO program are to improve the access of minorities and other underserved populations to best-practice care for hepatitis C virus (HCV) infection, to determine the safety and efficacy of treatment for HCV infection based on the ECHO model in rural communities, and to compare the effectiveness of the ECHO model with that of university-based clinic treatment. The ECHO program increases the accessibility of populations . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><pmid>21631316</pmid><doi>10.1056/NEJMoa1009370</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2011-06, Vol.364 (23), p.2199-2207 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Academic Medical Centers Adult Analysis of Variance Antiviral Agents - therapeutic use Biological and medical sciences Chronic infection Clinics Community Health Services Female General aspects Genotype & phenotype Genotypes Health facilities Health sciences Health Services Accessibility Hepacivirus - drug effects Hepacivirus - genetics Hepatitis Hepatitis C Hepatitis C, Chronic - drug therapy Hepatitis C, Chronic - therapy Hepatitis C, Chronic - virology Human viral diseases Humans Infections Infectious diseases Interdisciplinary aspects Interferon-alpha - therapeutic use Laboratories Liver cancer Male Medical sciences Medically Underserved Area Middle Aged Minority & ethnic groups New Mexico Patients Physicians, Primary Care Polyethylene Glycols - therapeutic use Primary care Prisoners Prisons Prospective Studies Recombinant Proteins Rural areas Rural Health Services Telemedicine Treatment Outcome Urban areas Videoconferencing Viral diseases Viral hepatitis |
| title | Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers |
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