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Putka B et al. – The data confirm that up to one–third of HCV antibody–positive patients are not referred to HCV specialists, despite the availability of improved treatment regimens. Additional patients are lost to follow–up after being referred. The reasons for suboptimal referral and specialty clinic attendance rates are probably multifactorial. Institution of reflexive RNA testing for positive antibody tests and additional education of those physicians who encounter HCV–positive individuals may improve both rates.

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