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Dissertation/Thesis Abstract

Adoption and Implementation of Hepatitis C Virus (HCV) Screening Recommendations for Baby Boomers: A National Survey of Family Physicians
by Manjelievskaia, Janna, Ph.D., University of the Sciences in Philadelphia, 2017, 199; 10801755
Abstract (Summary)

Background: Clinical recommendations are a key component of the effort to improve delivery of preventive care services. The Centers for Disease Control and Prevention and the U.S. Preventive Services Task Force recommended a one-time testing for hepatitis C virus (HCV) for anyone born between 1945 and 1965, known as Baby Boomers. Knowledge and adoption of this recommendation vary and have not been examined among family physicians nationally.

Objectives: 1) To describe family physicians’ self-reported screening rates for HCV among Baby Boomer patients in their practice; 2) To describe family physicians’ awareness of and attitudes toward HCV screening for Baby Boomers; 3) To explore provider-level factors associated with adoption of the age-based HCV screening recommendation; 4) To explore providers’ perceptions of practice-level factors associated with adoption of the age-based HCV screening recommendation.

Methods: A self-administered questionnaire was mailed to a sample of 1,250 members of the American Academy of Family Physicians. Quantitative data were analyzed using descriptive and bivariate analyses. Screening rate was categorized into low (0-66%) and high screeners (67-100%). Qualitative data were coded and themes were presented.

Results: Response rate was 28.9% (n=357). A substantial proportion did not report a screening rate for HCV among Baby Boomers. No statistically significant differences were found between providers who did and did not report a rate. Most reported being very aware of the recommendation. HCV screening was ranked less important than other preventive services. Belief in the importance of screening and difficulty performing HCV testing were associated with screening. Difficulties included confusing billing terminology, lack of understanding of current insurance policies, and costs. A higher proportion of providers in the high-screener group had HCV-specific prompts in their EMR system.

Conclusions: While most providers reported being very knowledgeable about the age-based HCV screening recommendation, lack of responses for self-reported screening rates suggests that providers are unable to calculate their screening rate or do not know because HCV screening is not a top priority. Based on the difficulties expressed by providers, interventions aimed at simplifying the HCV testing process are warranted. Reminder systems at the point of care may be helpful in increasing HCV screening rates.

Indexing (document details)
School: University of the Sciences in Philadelphia
Department: Public Health
School Location: United States -- Pennsylvania
Source: DAI-B 79/08(E), Dissertation Abstracts International
Subjects: Public health
Keywords: Clinical practice guidelines, Hepatitis c virus, Recommendations, Screening, Uspstf
Publication Number: 10801755
ISBN: 978-0-355-79421-2
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