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- Title
Engaging Physicians and Systems to Improve Hepatitis C Virus Testing in Baby Boomers.
- Authors
Vadaparampil, Susan T.; Fuzzell, Lindsay N.; Rathwell, Julie; Reich, Richard R.; Roetzheim, Richard; Giuliano, Anna R.
- Abstract
Simple Summary: Millions of people in the United States are chronically infected with the hepatitis C virus (HCV). Baby boomers have substantially higher HCV infection rates than other age groups. Clinical practice guidelines recommend HCV testing in baby boomers, but testing rates are low. We developed and tested an intervention to increase orders for HCV testing that included electronic health record supports and a physician education session to improve HCV physician knowledge in one Florida academic health system. During the intervention, for providers that viewed a pop-up alert in the electronic health record, HCV test ordering increased. The brief physician education intervention improved HCV knowledge and increased self-efficacy in the knowledge of HCV risk factors. These findings suggest electronic health record and physician education interventions hold promise for increasing HCV testing rates. Approximately three million people in the United States have been exposed to the hepatitis C virus (HCV), with two-thirds of these having chronic HCV infection. Baby boomers (those born 1945–1965) have nearly five times the prevalence of HCV infection compared with other age groups. Despite clinical practice guidelines that recommend HCV testing in baby boomers, the testing rates remain low. We developed and tested a multilevel intervention to increase orders for HCV testing that included integrated clinical decision support within the electronic health record (EHR) and a physician education session to improve HCV physician knowledge in one Florida academic health system. In the year prior to the intervention, test order rates for encounters with baby boomers was 11.9%. During the intervention period (August 2019–July 2020) for providers that viewed a best practice alert (BPA), the ordering increased to 59.2% in Family Medicine and 64.6% in Internal Medicine. The brief physician education intervention improved total HCV knowledge and increased self-efficacy in knowledge of HCV risk factors. These findings suggest that interventions at the system and physician levels hold promise for increasing HCV testing rates. Future studies are needed to evaluate this intervention in additional clinical settings and to test the benefit of adding additional intervention components that are directed at patients.
- Subjects
FLORIDA; EDUCATION of physicians; HEPATITIS C prevention; HEPATITIS C diagnosis; HEPATITIS C risk factors; ACADEMIC medical centers; PROFESSIONS; CLINICAL decision support systems; MEDICAL screening; MEDICAL care; PRIMARY health care; HUMAN services programs; SELF-efficacy; QUALITY assurance; RESEARCH funding; ELECTRONIC health records
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 1, p209
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11020209