Treating hepatitis C in American Indians/Alaskan Natives: A survey of Project ECHO(®) (Extension for Community Healthcare Outcomes) utilization by Indian Health Service providers

SAGE Open Medicine
Talia PindyckKarla Thornton

Abstract

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. To ascertain Indian Health Service providers' benefit of and barriers to utilizing hepatitis C virus TeleECHO clinics. 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. 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. 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.

References

May 17, 2006·Annals of Internal Medicine·Anne C SpauldingJay H Hoofnagle
Aug 1, 2008·Journal of Clinical Gastroenterology·Stephanie R BialekBeth P Bell
Jul 8, 2010·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Sanjeev AroraWesley Pak
Jun 3, 2011·The New England Journal of Medicine·Sanjeev AroraClifford Qualls
May 9, 2012·International Journal of Circumpolar Health·Stephen E LivingstonDavid R Gretch
Jul 11, 2013·Journal of Public Health Management and Practice : JPHMP·Brigg ReilleyRebecca Geiger

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Citations

Jul 26, 2018·The Journal of Manual & Manipulative Therapy·Karen C WesterveltLinda Crane
Oct 3, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Stephanie C MelkonianDavid K Espey
Sep 9, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·James HaridyTimothy Fazio

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Software Mentioned

Gravic Remark Web Survey
Excel
TeleECHO

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