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Buy acyclovir cream for genital herpes. (Photo: Matt Rourke/AP Photo) MIDDLETOWN — New Jersey was at the forefront of a nationwide effort to address the treatment of HIV/AIDS by providing access to drugs for the prevention of disease in an attempt to protect the health and lives of those with chronic diseases, a Rutgers University-based study has found. The findings, published in Journal of the American Medical Association, revealed that the state is a leader in providing access to medical devices used treat HIV, including a new device called M-Plus, which treats acute hepatitis C. The state is also a leader in providing medication to treat a number of other diseases, including diabetes, hypertension and some cancers — all key to preventing disease. M-Plus is the first FDA-approved device for treatment of acute hepatitis C and was approved by the agency in Acyclovir buy online canada March. new device, which is intended for use in patients undergoing liver transplantation, was developed when scientists realized that they could cure these patients of hepatitis C entirely by treating the virus with an antibiotic. But to get such a device, health officials here had to overcome considerable opposition. A bill passed this year in the Legislature would require that physicians obtain the written consent of two psychiatrists before prescribing M-Plus — a potentially costly and time-consuming requirement in a doctor's practice, according to Dr. David Cohen, a New Jersey State Department of Health physician who was a lead researcher on the study. "The only drug that was available (for acute hepatitis C) was a long-acting antiviral cocktail that was so toxic you needed to take lots of time recuperate, but it didn't work," Cohen said. And the cost of treating hepatitis C is "outrageous," he added. Cohen's co-researcher on the study, Rutgers School of Public Health Associate Professor John F. DiSilvestro, said that this type of access to new treatment options is important because it allows for buy acyclovir cream 5 people to get treatment when they need it and reduces some of the financial burden on hospitals and insurance companies. HIV/AIDS is responsible for 50,000 of the 60,000 U.S. deaths each year, according to the National Institutes of Health. NIH estimates that each year, $30 billion in U.S. taxpayers' money is spent on dealing with it. In other countries, where the epidemic has been less dramatic, medical options have been available by prescription for many years, DiSilvestro said. DiSilvestro and Cohen studied 10 different states as a way to learn about how other countries are responding to the epidemic. They took a closer look at the policies and practices of each state found some surprises. In New Jersey, Medicaid reimburses people based on a percentage of the monthly income, which can be lower than the price of a course treatment prescribed by doctor. The same is true for other health insurance programs in the state, but for hepatitis C, there's no price cap for Medicaid. The study was not intended to provide an endorsement for Medicaid or other public health systems, DiSilvestro said. It simply showed that the policies and practices of these systems are not the major impediments to providing hepatitis C treatments. Another state study, published last year in JAMA Internal Medicine, concluded that "access to care and quality of are linked to public health performance in the United States. These measures are not necessarily the same." That study looked at a number of factors related to access care, but one was finding out if people had access to high-quality physicians. When it counted, "access to care" included people who were able to get a primary care doctor, DiSilvestro said. "The study showed that when one is able to see a primary care doctor they are able to see a specialist if needed," DiSilvestro said. one can see a primary care doctor, "they can get treatment for hepatitis C, but the likelihood that a person will be offered treatment is low because they will have to see a specialist," DiSilvestro said. A recent study at University of Michigan Health System indicates that a similar policy could have positive side effects. The researchers found that an innovative practice known as "phased care can lead to better patient-centered outcomes and improved access to care," according the National Institutes of Health. A physician with practice that offers this sort of "phased care" approach could offer one course of treatment for a particular condition, such as hepatitis C, but then provide follow-up care for several years until someone in the population was cured of disease. In theory, this approach would allow people to get treatment quicker, reduce costs and decrease long wait times to see a doctor, the NIAH website says. DiSilvestro hopes the knowledge gained from this research will encourage states to make decisions about providing services that can benefit.

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