The association between implementation strategy use and the uptake of hepatitis C treatment in a national sample.

Implementation Science : IS
Shari S RogalMatthew J Chinman

Abstract

Hepatitis C virus (HCV) is a common and highly morbid illness. New medications that have much higher cure rates have become the new evidence-based practice in the field. Understanding the implementation of these new medications nationally provides an opportunity to advance the understanding of the role of implementation strategies in clinical outcomes on a large scale. The Expert Recommendations for Implementing Change (ERIC) study defined discrete implementation strategies and clustered these strategies into groups. The present evaluation assessed the use of these strategies and clusters in the context of HCV treatment across the US Department of Veterans Affairs (VA), Veterans Health Administration, the largest provider of HCV care nationally. A 73-item survey was developed and sent to all VA sites treating HCV via electronic survey, to assess whether or not a site used each ERIC-defined implementation strategy related to employing the new HCV medication in 2014. VA national data regarding the number of Veterans starting on the new HCV medications at each site were collected. The associations between treatment starts and number and type of implementation strategies were assessed. A total of 80 (62%) sites responded. Responden...Continue Reading

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Citations

Mar 15, 2019·Implementation Science : IS·Eva N WoodwardJoAnn E Kirchner
Aug 25, 2019·Journal of Medical Internet Research·Vera YakovchenkoD Keith McInnes
Mar 9, 2021·Hepatology Communications·Arpan A PatelPonni V Perumalswami
Jun 1, 2021·Current Treatment Options in Gastroenterology·Akshata MogheShari Rogal
Jun 12, 2021·Implementation Science Communications·Deonni P StolldorfSunil Kripalani
Dec 5, 2021·Clinical Medicine : Journal of the Royal College of Physicians of London·Ruth de Las CasasJugdeep Dhesi

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