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Infect Dis Clin North Am ; 32(2): 313-322, 2018 06.
Article in English | MEDLINE | ID: mdl-29778258

ABSTRACT

In the pre-direct-acting antiviral era, hepatitis C virus (HCV) treatments were complex and largely managed by hepatologists, gastroenterologists, and infectious disease physicians. As direct-acting antivirals have driven up demand for treatment, the relative scarcity of these specialists has created a bottleneck effect, resulting in only a fraction of HCV-infected individuals offered treatment. The San Francisco Health Network is a safety net system of care. Its intervention was designed to be sustainable and scalable; with minimal time commitments for training providers, primary care-based HCV treatment increased 3-fold in a period of just over 3 years.


Subject(s)
Antiviral Agents/therapeutic use , Hepatitis C, Chronic/drug therapy , Hepatitis C/drug therapy , Primary Health Care , Antiviral Agents/administration & dosage , Antiviral Agents/adverse effects , Hepacivirus/drug effects , Hepatitis C/epidemiology , Hepatitis C/virology , Hepatitis C, Chronic/epidemiology , Hepatitis C, Chronic/virology , Humans , Physicians , San Francisco/epidemiology
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