Hepatitis C Virus Testing Perspectives Among Primary Care Physicians in Four Large Primary Care Settings

Details

• Alternative Title:
  Health Promot Pract
• Personal Author:
  Jewett, Amy ; Garg, Arika ; Meyer, Katherine ; Wagner, Laura Danielle ; Krauskopf, Katherine ; Brown, Kimberly A. ; Pan, Jen-Jung ; Massoud, Omar ; Smith, Bryce D. ; Rein, David B.
• Description:
  Background
  
  In 1998, the Centers for Disease Control and Prevention (CDC) published Recommendations for Prevention and Control of Hepatitis C Virus (HCV) Infection and HCV-Related Chronic Disease, recommending HCV testing for populations most likely to be infected with HCV. However, the implementation of risk-based screening has not been widely adopted in health care settings, and 45% to 85% of infected U.S. adults remain unidentified.
  
  Objectives
  
  To develop a better understanding of why CDC’s 1998 recommendations have had limited success in identifying persons with HCV infection and provide information about how CDC’s 2012 Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born During 1945–1965 may be implemented more effectively.
  
  Design
  
  Qualitative data were collected and analyzed from a multidisciplinary team as part of the Birth Cohort Evaluation to Advance Screening and Testing for Hepatitis C project.
  
  Respondents
  
  Nineteen providers were asked open-ended questions to identify current perspectives, practices, facilitators, and barriers to HCV screening and testing. Providers were affiliated with Henry Ford Hospital, Mount Sinai Hospital, the University of Alabama, and the University of Texas Health Science Center.
  
  Results
  
  Respondents reported the complexity of the 1998 recommendations, and numerous indicated risk factors were major barriers to effective implementation. Other hindrances to hepatitis C testing included physician discomfort in asking questions about socially undesirable behaviors and physician uncertainty about patient insurance coverage.
  
  Conclusion
  
  Implementation of the CDC’s 2012 recommendations could be more successful than the 1998 recommendations due to their relative simplicity; however, effective strategies need to be used for dissemination and implementation for full success.
  
  
• Subjects:
  Guideline Adherence Hepatitis C Hepatitis C, Chronic Humans Mass Screening Practice Guidelines As Topic Primary Health Care Risk Factors
• Source:
  Health Promot Pract. 16(2):256-263.
• Pubmed ID:
  24776636
• Pubmed Central ID:
  PMC5747241
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Volume:
  16
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:194e75f1d2576c204d02e1a3afd859e55c8f3539f0bf0e97f203e2db86a77d3c
• Download URL:
  https://stacks.cdc.gov/view/cdc/50650/cdc_50650_DS1.pdf
• File Type:
  [PDF - 68.91 KB ]