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Barriers to Treatment of HCV in Primary Care

Hepatol Int; ePub 2018 Oct 30; Johnson, et al

Reimbursement is a major barrier to primary care practitioner treatment of hepatitis C virus (HCV) infection, along with purported barriers such as complexity of the patients, time commitment, and the need for expertise. This according a recent nationwide survey of general practitioners that sought to identify barriers to HCV treatment among general practitioners. Among the details:

  • 3,817 general practitioners were surveyed; 925 (24.2%) participated.
  • 187 (21%) practitioners indicated they prescribed HCV medications.
  • 620 (70%) indicated that no general practitioner in their practice had interest in managing HCV therapy.
  • HCV training was associated with increased prescribing activity.
  • Inadequate reimbursement (44%), too few HCV patients (40%), and caseload with other patients (40%) were the most frequently identified barriers to treatment.
  • A lack of awareness to the prevalence of HCV in the general population was also identified as an important barrier.

Citation:

Johnson S, Aluzaite K, Taar A, Schultz M. Identifying barriers to treatment of HCV in the primary care setting. [Published online ahead of print October 30, 2018]. Hepatol Int. doi:10.1007/s12072-018-9902-x.

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