Managing chronic hepatitis B - the role of the GP
Wallace, J.; Hajarizadeh, B.; Richmond, J.; McNally, S.; Pitts, M.
Australian Family Physician 41(11): 893-898
2012
ISSN/ISBN: 0300-8495 PMID: 23145424 Document Number: 659948
General practitioners are critical to reducing the impact of chronic hepatitis B in the community. This study explored how GPs understand their role in chronic hepatitis B management. Semi-structured interviews were held with 26 GPs from five Australian jurisdictions. The principal roles identified by GPs in chronic hepatitis B management were diagnosis, monitoring and mediating between patient and specialist. General practitioners saw themselves as essential in managing chronic hepatitis B with their frequent interaction with patients, physical access and established trusting therapeutic relationships. They supported an active role in the delivery of chronic hepatitis B pharmaceutical treatment through shared care arrangements. An optimal public health response to chronic hepatitis B requires a clear definition of the role of the GP. Most GPs believed their role could be more substantive and include management and treatment beyond that of diagnosis and monitoring.