Dublin area Hepatitis C in General Practice Initiative: report of a Pilot Implementation Programme in Eastern Regional Health Authority.
Cullen, Walter
Hepatitis C (HCV) is a common and potentially serious infection affecting people who
have injected or who continue to inject drugs. Addiction treatment services for
injecting drug users have expanded considerably in Ireland Since 1993, with general
practice increasingly providing continuing care.
A multidisciplinary group developed a set of guidelines for the management of HCV
among this population, using a combination of scientific evidence, or where this was
lacking, expert consensus. Interviews with practising clinicians were used to
determine a workable intervention to facilitate effective implementation of these
guidelines in general practice.
The guidelines, and their accompanying implementation strategy (a complex
intervention consisting of a combination of educational, organisational and clinical
supports) were implemented in a representative sample of general practices in the
Eastern Regional Health Authority area of Ireland.
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