{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:36:42Z","timestamp":1792121802549,"version":"4.4.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Elimination of hepatitis C virus stands as an unresolved World Health Organization target, and is associated with complications including cirrhosis and hepatocellular carcinoma. Hepatitis C virus management has been revolutionised following the widespread availability of direct-acting antiviral agents in Australia since 2016; however, large proportions of the population remain untreated. Telehealth-based service delivery is an accessible and effective alternative, and we aimed to assess qualitative and clinical outcomes in a clinical nurse consultant-led regional telehealth model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort analysis of all patients referred to a Victorian regional hospital\u2019s hepatitis C virus telehealth clinic between 1 April 2017 and 10 June 2020 was conducted. Data were collated from outpatient and electronic medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-five out of 71 referred patients were booked, with 44 patients (80%) attending at least one appointment. A history of alcohol use disorder and psychiatric comorbidity was seen in 25 (54%) and 24 (52%) patients, respectively. Twenty-one out of 24 (88%) eligible patients had direct-acting antiviral agent treatment and 14 out of 21 (67%) successfully completed the treatment. An average of 46.5\u2005km, 54.6\u2005min and $AUD30.70 was saved per patient for each visit. Observed benefits included: increased medical engagement, adherence to and completion of HCV treatment and cirrhosis monitoring. Telehealth-driven hepatocellular carcinoma surveillance was successful in the cirrhotic subgroup.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinical nurse consultant-led hepatitis C virus management via telehealth allows access to marginalised regional populations. Clinical outcomes were comparable to other cohorts with additional cost-benefit, efficiency gains and carbon footprint reduction amongst a previously unreported regional Victorian hepatitis C virus population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x211024108","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T11:52:57Z","timestamp":1624017177000},"page":"497-504","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["A nurse-led, telehealth-driven hepatitis C management initiative in regional Victoria: Cascade of care from referral to cure"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8265-5235","authenticated-orcid":false,"given":"Beverly","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nola","family":"Parsons","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Haridy","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bloom","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"},{"name":"Eastern Health Clinical School, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Haar","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Nicoll","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"},{"name":"Eastern Health Clinical School, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Sawhney","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Eastern Health, Australia"},{"name":"Eastern Health Clinical School, Monash University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"bibr1-1357633X211024108","unstructured":"WHO. 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