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Telementoring for hepatitis C treatment in correctional facilities
Maike Neuhaus1, Danette Langbecker1, Liam J Caffery1
11 Centre for Online Health, The University of Queensland, Australia.
Journal of Telemedicine and Telecare
|October 23, 2018
Summary
Telementoring significantly improved hepatitis C virus (HCV) treatment capacity in Australian prisons. This service upskilled healthcare professionals, increasing access to direct-acting antivirals (DAAs) for incarcerated individuals.
Area of Science:
- Hepatology
- Public Health
- Telemedicine
Background:
- Hepatitis C virus (HCV) prevalence is disproportionately high in correctional facilities.
- Access to effective antiviral therapy for HCV has been limited for prisoners in Australia.
- Direct-acting antivirals (DAAs) offer a highly effective treatment option with minimal side effects.
Purpose of the Study:
- To evaluate a telementoring service designed to enhance the skills of healthcare providers in correctional settings for HCV treatment.
- To assess the clinical effectiveness and organizational impact of telementoring for managing HCV in prisons.
Main Methods:
- Implementation of a telementoring service across five correctional facilities.
- Qualitative interviews with participating healthcare staff.
- Content analysis of interview data to identify key themes related to the service's impact.
Main Results:
- 16 telementoring sessions discussed 173 patients within the first ten months.
- Key themes identified include improved access to antiviral therapy, positive organizational impacts (knowledge, confidence, workload management), and care model adaptations.
- Increased staff knowledge and confidence in treating HCV were reported.
Conclusions:
- Telementoring is an effective strategy for upskilling clinicians in correctional facilities to manage HCV.
- The service facilitates eligible prescriber status and increases the capacity to treat HCV among incarcerated populations.
- Telementoring supports the expansion of direct-acting antiviral (DAA) treatment within prisons.
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