Table 2.
Primary care physician HCV screening and referral patterns
| N (%) | |
|---|---|
| HCV screening (n = 80) | |
| % clinic visits PCP able to screen at risk patients | |
| Never | 1 (1 %) |
| <25 % | 30 (38 %) |
| 25–50 % | 12 (15 %) |
| 51–75 % | 15 (19 %) |
| >75 % | 15 (19 %) |
| Always | 7 (9 %) |
| Report barriers to screening | 28 (35 %) |
| Barriers identified (n = 28) | |
| Time constraints | 27 (96 %) |
| Difficulty assessing if screened prior | 20 (71 %) |
| Lack of resources/logistical support | 16 (57 %) |
| Remaining current with guidelines | 10 (36 %) |
| Concern about insurance coverage | 9 (32 %) |
| Interventions that may improve screening (n = 80) | |
| EMR-based prompt | 77 (96 %) |
| Support staff order screening test at check in | 59 (74 %) |
| Additional patient education | 57 (71 %) |
| Opt out screening in EMR | 41 (52 %) |
| Report instances elect not to screen | 27 (34 %) |
| Reasons not to screen (n = 27) | |
| Lack of time | 15 (56 %) |
| Do not think patient will be treatment candidate | 10 (37 %) |
| Reasons for referral (n = 80) | |
| Advanced disease (i.e., cirrhosis, end-stage liver disease) | 80 (100 %) |
| Patient request | 79 (99 %) |
| Determine if therapy indicated | 79 (99 %) |
| Transplant consideration | 72 (90 %) |
| Reasons would not refer (n = 80) | |
| Medical comorbidities | 18 (24 %) |
| Psycho-social comorbidities/compliance | 16 (20 %) |
| Lack of insurance | 15 (19 %) |