Treating hepatitis C in American Indians/Alaskan Natives: A survey of Project ECHO® (Extension for Community Healthcare Outcomes) utilization by Indian Health Service providers
Authors:
Open Access
- 1 January 2015
- journal article
- research article
- Published by SAGE Publications in Sage Open Medicine
- Vol. 3
Abstract
Background: American Indians/Alaskan Natives have a high mortality associated with hepatitis C virus, yet treatment rates are low. The ECHO (Extension for Community Healthcare Outcomes) model™, a videoconferencing technology for primary care providers, is underutilized at Indian Health Service facilities. Purpose: To ascertain Indian Health Service providers’ benefit of and barriers to utilizing hepatitis C virus TeleECHO clinics. Methods: We electronically sent an Active Participant Survey to Indian Health Service providers utilizing hepatitis C virus TeleECHO clinic and a Non-Participant Survey to other Indian Health Service providers interested in this clinic. Results: In total, 100% of Active Participant Survey respondents perceive moderate to major benefit of hepatitis C virus TeleECHO clinic in managing hepatitis C virus, and 67% of Non-Participant Survey respondents reported lack of administrative time as the major barrier to utilizing this resource. Conclusion: Indian Health Service providers participating in hepatitis C virus TeleECHO clinic perceive this resource as highly beneficial, but widespread utilization may be impractical without allocating time for participation.Keywords
This publication has 10 references indexed in Scilit:
- Challenges of hepatitis C treatment in Native Americans in two North Dakota medical facilitiesRural and Remote Health, 2014
- Lack of Access to Treatment as a Barrier to HCV ScreeningJournal of Public Health Management & Practice, 2014
- Expanding Primary Care Capacity to Treat Hepatitis C Virus Infection Through an Evidence-Based Care Model — Arizona and Utah, 2012–20142014
- Deaths: leading causes for 2010.2013
- Treatment eligibility in Alaska Native and American Indian persons with hepatitis C virus infectionInternational Journal of Circumpolar Health, 2012
- Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care ProvidersNew England Journal of Medicine, 2011
- Partnering Urban Academic Medical Centers And Rural Primary Care Clinicians To Provide Complex Chronic Disease CareHealth Affairs, 2011
- Expanding Access to Hepatitis C Virus Treatment—Extension for Community Healthcare Outcomes (ECHO) Project: Disruptive Innovation in Specialty Care†Hepatology, 2010
- Chronic Liver Disease Among Two American Indian Patient Populations in the Southwestern United States, 2000-2003Journal of Clinical Gastroenterology, 2008
- A Framework for Management of Hepatitis C in PrisonsAnnals of Internal Medicine, 2006