A Descriptive Model of Patient Readiness, Motivators, and Hepatitis C Treatment Uptake among Australian Prisoners
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{"title"=>"A descriptive model of patient readiness, motivators, and hepatitis C treatment uptake among Australian prisoners", "type"=>"journal", "authors"=>[{"first_name"=>"Lorraine", "last_name"=>"Yap", "scopus_author_id"=>"15827009700"}, {"first_name"=>"Susan", "last_name"=>"Carruthers", "scopus_author_id"=>"7005890809"}, {"first_name"=>"Sandra", "last_name"=>"Thompson", "scopus_author_id"=>"7403233191"}, {"first_name"=>"Wendy", "last_name"=>"Cheng", "scopus_author_id"=>"57199697570"}, {"first_name"=>"Jocelyn", "last_name"=>"Jones", "scopus_author_id"=>"56599396700"}, {"first_name"=>"Paul", "last_name"=>"Simpson", "scopus_author_id"=>"56124453300"}, {"first_name"=>"Alun", "last_name"=>"Richards", "scopus_author_id"=>"36451335600"}, {"first_name"=>"Hla Hla", "last_name"=>"Thein", "scopus_author_id"=>"56929716400"}, {"first_name"=>"Paul", "last_name"=>"Haber", "scopus_author_id"=>"7004422180"}, {"first_name"=>"Andrew", "last_name"=>"Lloyd", "scopus_author_id"=>"56962782100"}, {"first_name"=>"Tony", "last_name"=>"Butler", "scopus_author_id"=>"7201521178"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24586281", "doi"=>"10.1371/journal.pone.0087564", "sgr"=>"84896129448", "isbn"=>"1932-6203 (Electronic) 1932-6203 (Linking)", "scopus"=>"2-s2.0-84896129448", "issn"=>"19326203", "pui"=>"372609694"}, "id"=>"d899eeb7-5a7c-37f7-9525-260212d77fe6", "abstract"=>"BACKGROUND: Hepatitis C virus infection (HCV) has a significant global health burden with an estimated 2%-3% of the world's population infected, and more than 350,000 dying annually from HCV-related conditions including liver failure and liver cancer. Prisons potentially offer a relatively stable environment in which to commence treatment as they usually provide good access to health care providers, and are organised around routine and structure. Uptake of treatment of HCV, however, remains low in the community and in prisons. In this study, we explored factors affecting treatment uptake inside prisons and hypothesised that prisoners have unique issues influencing HCV treatment uptake as a consequence of their incarceration which are not experienced in other populations.\\n\\nMETHOD AND FINDINGS: We undertook a qualitative study exploring prisoners' accounts of why they refused, deferred, delayed or discontinued HCV treatment in prison. Between 2010 and 2013, 116 Australian inmates were interviewed from prisons in New South Wales, Queensland, and Western Australia. Prisoners experienced many factors similar to those which influence treatment uptake of those living with HCV infection in the community. Incarceration, however, provides different circumstances of how these factors are experienced which need to be better understood if the number of prisoners receiving treatment is to be increased. We developed a descriptive model of patient readiness and motivators for HCV treatment inside prisons and discussed how we can improve treatment uptake among prisoners.\\n\\nCONCLUSION: This study identified a broad and unique range of challenges to treatment of HCV in prison. Some of these are likely to be diminished by improving treatment options and improved models of health care delivery. Other barriers relate to inmate understanding of their illness and stigmatisation by other inmates and custodial staff and generally appear less amenable to change although there is potential for peer-based education to address lack of knowledge and stigma.", "link"=>"http://www.mendeley.com/research/descriptive-model-patient-readiness-motivators-hepatitis-c-treatment-uptake-among-australian-prisone", "reader_count"=>29, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Student > Doctoral Student"=>4, "Researcher"=>10, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Student > Doctoral Student"=>4, "Researcher"=>10, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>3, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>3, "Medicine and Dentistry"=>11, "Agricultural and Biological Sciences"=>2, "Psychology"=>2, "Social Sciences"=>8, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Social Sciences"=>{"Social Sciences"=>8}, "Psychology"=>{"Psychology"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Indonesia"=>1}, "group_count"=>7}

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  • {"files"=>["https://ndownloader.figshare.com/files/1400666"], "description"=>"<div><p>Background</p><p>Hepatitis C virus infection (HCV) has a significant global health burden with an estimated 2%–3% of the world's population infected, and more than 350,000 dying annually from HCV-related conditions including liver failure and liver cancer. Prisons potentially offer a relatively stable environment in which to commence treatment as they usually provide good access to health care providers, and are organised around routine and structure. Uptake of treatment of HCV, however, remains low in the community and in prisons. In this study, we explored factors affecting treatment uptake inside prisons and hypothesised that prisoners have unique issues influencing HCV treatment uptake as a consequence of their incarceration which are not experienced in other populations.</p><p>Method and Findings</p><p>We undertook a qualitative study exploring prisoners' accounts of why they refused, deferred, delayed or discontinued HCV treatment in prison. Between 2010 and 2013, 116 Australian inmates were interviewed from prisons in New South Wales, Queensland, and Western Australia. Prisoners experienced many factors similar to those which influence treatment uptake of those living with HCV infection in the community. Incarceration, however, provides different circumstances of how these factors are experienced which need to be better understood if the number of prisoners receiving treatment is to be increased. We developed a descriptive model of patient readiness and motivators for HCV treatment inside prisons and discussed how we can improve treatment uptake among prisoners.</p><p>Conclusion</p><p>This study identified a broad and unique range of challenges to treatment of HCV in prison. Some of these are likely to be diminished by improving treatment options and improved models of health care delivery. Other barriers relate to inmate understanding of their illness and stigmatisation by other inmates and custodial staff and generally appear less amenable to change although there is potential for peer-based education to address lack of knowledge and stigma.</p></div>", "links"=>[], "tags"=>["Infectious diseases", "Viral diseases", "hepatitis", "Hepatitis C", "Public health", "Behavioral and social aspects of health", "preventive medicine", "Socioeconomic aspects of health", "Sociology", "Crime and criminology", "descriptive", "uptake", "australian"], "article_id"=>946410, "categories"=>["Medicine", "Sociology"], "users"=>["Lorraine Yap", "Susan Carruthers", "Sandra Thompson", "Wendy Cheng", "Jocelyn Jones", "Paul Simpson", "Alun Richards", "Hla-Hla Thein", "Paul Haber", "Andrew Lloyd", "Tony Butler"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0087564", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_A_Descriptive_Model_of_Patient_Readiness_Motivators_and_Hepatitis_C_Treatment_Uptake_among_Australian_Prisoners_/946410", "title"=>"A Descriptive Model of Patient Readiness, Motivators, and Hepatitis C Treatment Uptake among Australian Prisoners", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-02-27 02:46:33"}
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Relative Metric

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