Journal of Urban Health

, Volume 84, Issue 3, pp 455–458 | Cite as

Offers of Hepatitis C Care Do Not Lead to Treatment

  • Bruce R. Schackman
  • Paul A. Teixeira
  • Ann B. Beeder


Since 2002, clinicians have been encouraged to offer chronic hepatitis C virus (HCV) treatment to patients with injection drug use histories. We conducted 69 baseline and 35 follow-up interviews between September 2002 and November 2004 with HCV patients who were treatment-naïve and receiving regular medical care at an HIV or methadone clinic in New York City at baseline. Of the 31 patients reinterviewed, 20 (65%) were offered treatment but only 2 (7%) were treated. Reasons for failure to be reinterviewed were loss to follow-up at the original site of care (30), death (6), and refusal to be reinterviewed (2). Whereas offers of HCV treatment may be increasing, there is a need to improve continuity of care, patient–provider communication, and patient education regarding HCV treatment options for treatment rates to improve.


Health status Hepatitis C treatment HIV coinfection Methadone maintenance treatment. 


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Copyright information

© The New York Academy of Medicine 2007

Authors and Affiliations

  • Bruce R. Schackman
    • 1
  • Paul A. Teixeira
    • 1
  • Ann B. Beeder
    • 1
  1. 1.Department of Public HealthWeill Medical College of Cornell UniversityNew YorkUSA

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