Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2014, Article ID 195097, 6 pages
Clinical Study

Translational Research of Telecare for the Treatment of Hepatitis C

1Institute of Injury Prevention and Control, Taipei Medical University, Taipei 110, Taiwan
2College of Public Health and Nutrition, Taipei Medical University, Taipei 110, Taiwan
3International SOS, Taipei 104, Taiwan
4Ministry of Health and Welfare, Taipei 115, Taiwan
5Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
6Department of Emergency, College of Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei 235, Taiwan

Received 18 March 2014; Accepted 13 May 2014; Published 10 June 2014

Academic Editor: Wei-Pin Chang

Copyright © 2014 Wan-Lin Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Chronic hepatitis C virus (HCV) infection is a serious health problem in Taiwan. The high dropout rate due to side effects limits the efficacy of treatment. The objective of this study is to investigate the effectiveness of telecare for the treatment of chronic hepatitis. Material and Methods. Two hundred and ninety-eight patients randomly chose either of the two support programs. Group 1 was offered public health nurse consultation at outpatient clinic. Group 2 was offered telecare program with 24 hours of consultation services via a health communication center. All patients were treated with standard therapy and followed up for 72 weeks. Results. Normalization of serum biochemistry was noted in both Group 1 (150 patients) and Group 2 (148 patients). The most common types of side effect in both groups were influenza-like symptoms. Patient compliance was 88% (Group 1) and 94.6% (Group 2). Total dropout cases were 18 (12%) in Group 1 and 8 (5.4%) in Group 2. The program costs were 232,632 USD (Group 1) and 112,500 USD (Group 2). Conclusion. Telecare system with health care communication center model is significant in reducing dropout rate and is more effective with easy access.