Implementing Hepatitis C Treatment Programs in Comprehensive HIV Clinics: The Health Resources and Services Administration (HRSA) Special Projects of National Significance (SPNS) Hepatitis C Treatment Expansion Initative
Methods: Twenty-nine demonstration site comprehensive HIV clinics were funded for two years to implement one of four clinic-selected models of HCV care, including: integrated HCV care, designated HCV clinic sessions, HCV care delivery by a primary provider with expert back-up, and referral to an outside specialist for care. An Evaluation and Technical Assistance Center (ETAC) assisted all sites with project implementation,patient-level medical consultation as-needed, monthly didactic and case-based teleconferences, and in-person annual site visits and grantee meetings. Quantitative outcomes measured included number of patients linked to and retained in treatment and the number of treated patients achieving a sustained virologic response (SVR) for each clinic. Qualitative data about model designs were also analyzed.
Conclusion: A dedicated interdisciplinary effort to implement an HCV treatment program within an HIV clinic can improve treatment implementation and completion rates compared to historical rates in similar populations.
Gilead Sciences: Research Contractor, Research grant
J. Beal, None
C. Somboonwit, Gilead Sciences: Speaker's Bureau, Speaker honorarium
S. Mcintosh, None
A. Bork, None
M. Tinsley, None
A. Cajina, None
P. Belton, None
J. Xavier, None
R. Doshi, None
R. Boyd, None
N. Solomon, None