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 %) |