General practitioner attitudes to prescribing hepatitis C antiviral therapy in a community setting

Lambert, Stephen M., Page, Andrew N., Wittmann, Johannes, Hayllar, Jeremy S., Ferndale, Clint W., Bain, Tanya M. and Macdonald, Graeme A. (2011) General practitioner attitudes to prescribing hepatitis C antiviral therapy in a community setting. Australian Journal of Primary Health, 17 3: 282-287. doi:10.1071/PY10069


Author Lambert, Stephen M.
Page, Andrew N.
Wittmann, Johannes
Hayllar, Jeremy S.
Ferndale, Clint W.
Bain, Tanya M.
Macdonald, Graeme A.
Title General practitioner attitudes to prescribing hepatitis C antiviral therapy in a community setting
Journal name Australian Journal of Primary Health   Check publisher's open access policy
ISSN 1448-7527
1836-7399
Publication date 2011-01-01
Sub-type Article (original research)
DOI 10.1071/PY10069
Volume 17
Issue 3
Start page 282
End page 287
Total pages 6
Place of publication Collingwood, Vic., Australia
Publisher C S I R O Publishing
Collection year 2012
Language eng
Formatted abstract
There is a growing debate about the prescription of hepatitis C virus (HCV) antiviral therapies within a community setting in Australia. This study aimed to identify interest and confidence among general practitioners (GPs) in prescribing HCV antiviral therapy in a community setting. Data from 580 GPs who responded to a cross-sectional population-based survey were analysed to measure: self-reported interest and confidence in initiating HCV antiviral therapy; and/or prescribing maintenance antiviral therapy; and self-perceived education needs about HCV antiviral therapy. Forty-two percent of respondents indicated they would be interested in prescribing HCV antiviral therapy. Most were not confident to initiate therapy (80%). Higher proportions indicated that they would be more confident in prescribing maintenance therapy (35%) rather than initiating (7%) therapy (z = 10.5, P < 0.001). Confidence in prescribing was related to a higher caseload of patients with HCV (P = 0.001) and being a HIV community-based prescriber (P = 0.002). Fifty-three percent of respondents expressed an interest in education about HCV antiviral therapy. The initial step to recruit potential primary care prescribers of HCV antiviral therapies should be to develop an integrated education program. Recruitment to this program might be most efficient from GPs with a high caseload of patients with HCV.
Keyword Maintenance Therapy
Primary Care Physicians
Viral hepatitis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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