Hepatitis B/C Treatment Options in Taiwan's Healthcare System

Hospitals offering hepatitis B/C testing?

1.
Is it better to visit a hospital that participates in the hepatitis B/C pilot program if I have hepatitis?
2.
What is the difference between hospitals that participate in the hepatitis B/C pilot program and those that do not?
3.
Are there any real benefits to using pearl grass and hibiscus, as reported in the media? Would you recommend their use?
4.
Is it appropriate to use Gan An Neng for someone transitioning from hepatitis B to early-stage liver cirrhosis? Will health insurance cover it? Thank you.

A-Dai, 20~29 year old female. Ask Date: 2005/03/16

Dr. Xu Jinchuan reply Gastroenterology and Hepatology

Hello! I'm not clear on what is meant by B/C hepatitis trial hospitals.
The hepatitis mentioned in the letter refers to which type of hepatitis? However, you can address all your questions to the hepatobiliary department at the hospital, where a specialist can conduct a detailed examination for you.
There is no evidence that pearl grass and hibiscus have therapeutic effects on hepatitis.
It is advisable to have a doctor examine you first.
Whether you can use Gan An Neng should be evaluated by a physician based on your condition.
If it is necessary and your condition meets the criteria set by the National Health Insurance Administration, it can certainly be covered.

Reply Date: 2005/03/16

More Info

When it comes to managing Hepatitis B and C in Taiwan, the healthcare system offers various treatment options, especially for patients who are eligible for the National Health Insurance (NHI) program. Here’s a comprehensive overview addressing your questions:
1. Visiting NHI-Approved Hospitals for Hepatitis B/C: It is indeed advisable to seek treatment at hospitals that are part of the NHI's Hepatitis B and C pilot program. These hospitals are specifically equipped and authorized to provide comprehensive care, including antiviral therapies, regular monitoring, and follow-up care. They also have access to the latest treatment protocols and clinical trials, which can be beneficial for patients with complex cases.

2. Differences in Pilot Program Hospitals: The primary difference between hospitals participating in the B/C hepatitis pilot program and those that are not lies in their ability to provide subsidized treatment. Hospitals in the pilot program are authorized to prescribe antiviral medications that are covered by NHI, which can significantly reduce out-of-pocket expenses for patients. Additionally, these hospitals often have specialized teams that focus on liver diseases, providing a higher level of expertise and care.

3. Effectiveness of Herbal Remedies: There have been various reports regarding the benefits of herbal remedies such as pearl grass (珍珠草) and hibiscus (洛神花) for liver health. However, it is crucial to approach these claims with caution. While some studies suggest potential benefits, there is insufficient clinical evidence to support their efficacy in treating hepatitis. It is always recommended to consult with a healthcare professional before incorporating any herbal supplements into your treatment regimen, as they may interact with prescribed medications or have side effects.

4. Using Gilead's Vemlidy (Tenofovir Alafenamide): For patients transitioning from Hepatitis B to early-stage cirrhosis, antiviral medications like Tenofovir Alafenamide (Gilead's Vemlidy) can be effective. This medication is known for its potent antiviral activity and favorable safety profile, particularly concerning renal function and bone density. In terms of NHI coverage, Vemlidy is included in the list of reimbursable medications for patients meeting specific criteria, such as having a certain level of liver damage or viral load. It is essential to have a thorough evaluation by a hepatologist to determine eligibility for this treatment under the NHI.

In summary, if you are diagnosed with Hepatitis B or C, seeking treatment at an NHI-approved hospital is highly beneficial. These facilities provide access to subsidized medications and specialized care. While exploring alternative treatments, always prioritize evidence-based medical advice and consult with healthcare professionals. If considering antiviral therapy like Vemlidy, ensure that you meet the necessary criteria for NHI coverage to alleviate financial burdens. Regular monitoring and follow-up are crucial in managing liver health effectively, especially when transitioning to more advanced stages of liver disease.

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