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Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals
OBJECTIVE: Persistent hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are major causative factors of hepatic cirrhosis and hepatocellular carcinoma. However, the development of antiviral treatment has enabled their suppression. Therefore, the early detection and treatment of these inf...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925281/ https://www.ncbi.nlm.nih.gov/pubmed/33518608 http://dx.doi.org/10.2169/internalmedicine.4748-20 |
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author | Hidaka, Isao Enomoto, Masaru Sato, Syuichi Suetsugu, Atsushi Matono, Tomomitsu Ito, Kiyoaki Ogawa, Koji Inoue, Jun Horino, Mika Kondo, Yasuteru Sakaida, Isao Korenaga, Masaaki |
author_facet | Hidaka, Isao Enomoto, Masaru Sato, Syuichi Suetsugu, Atsushi Matono, Tomomitsu Ito, Kiyoaki Ogawa, Koji Inoue, Jun Horino, Mika Kondo, Yasuteru Sakaida, Isao Korenaga, Masaaki |
author_sort | Hidaka, Isao |
collection | PubMed |
description | OBJECTIVE: Persistent hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are major causative factors of hepatic cirrhosis and hepatocellular carcinoma. However, the development of antiviral treatment has enabled their suppression. Therefore, the early detection and treatment of these infections are important. The objective of this study was to assess the level of awareness among healthcare professionals about hepatitis virus infection and electronic medical records alert system. METHODS: We surveyed healthcare professionals from 10 institutions with electronic medical records alert systems. All participants attended a lecture about the reactivation risk due to HBV infections, the most recent antiviral treatment for HCV infections, and the electronic medical records alert system. They participated in a questionnaire-based survey about their awareness of these infections, current status of intra-hospital referral, need for intra-hospital referrals before and after the lecture, and reasons for non-referral of patients to specialists. RESULTS: Responses were received from 1,281 healthcare professionals. Physicians and pharmacists had a high level of awareness about HBV and HCV. Among physicians, the level of awareness of those in the surgical field and other fields was significantly lower than that of the professionals in the internal medicine field. The awareness of the need to refer patients to hepatologists increased from 84.7-85.4% before to 93.0% after the lecture. The most frequent reasons for not referring patients previously were “I had no knowledge and/or interest” (28.1% of responses) and “All I did was explain the results orally” (24.2%). CONCLUSION: More widespread education of healthcare personnel is important to increase the number of individuals receiving appropriate treatment from specialist physicians. |
format | Online Article Text |
id | pubmed-7925281 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-79252812021-03-10 Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals Hidaka, Isao Enomoto, Masaru Sato, Syuichi Suetsugu, Atsushi Matono, Tomomitsu Ito, Kiyoaki Ogawa, Koji Inoue, Jun Horino, Mika Kondo, Yasuteru Sakaida, Isao Korenaga, Masaaki Intern Med Original Article OBJECTIVE: Persistent hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are major causative factors of hepatic cirrhosis and hepatocellular carcinoma. However, the development of antiviral treatment has enabled their suppression. Therefore, the early detection and treatment of these infections are important. The objective of this study was to assess the level of awareness among healthcare professionals about hepatitis virus infection and electronic medical records alert system. METHODS: We surveyed healthcare professionals from 10 institutions with electronic medical records alert systems. All participants attended a lecture about the reactivation risk due to HBV infections, the most recent antiviral treatment for HCV infections, and the electronic medical records alert system. They participated in a questionnaire-based survey about their awareness of these infections, current status of intra-hospital referral, need for intra-hospital referrals before and after the lecture, and reasons for non-referral of patients to specialists. RESULTS: Responses were received from 1,281 healthcare professionals. Physicians and pharmacists had a high level of awareness about HBV and HCV. Among physicians, the level of awareness of those in the surgical field and other fields was significantly lower than that of the professionals in the internal medicine field. The awareness of the need to refer patients to hepatologists increased from 84.7-85.4% before to 93.0% after the lecture. The most frequent reasons for not referring patients previously were “I had no knowledge and/or interest” (28.1% of responses) and “All I did was explain the results orally” (24.2%). CONCLUSION: More widespread education of healthcare personnel is important to increase the number of individuals receiving appropriate treatment from specialist physicians. The Japanese Society of Internal Medicine 2021-02-01 2021-02-01 /pmc/articles/PMC7925281/ /pubmed/33518608 http://dx.doi.org/10.2169/internalmedicine.4748-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Hidaka, Isao Enomoto, Masaru Sato, Syuichi Suetsugu, Atsushi Matono, Tomomitsu Ito, Kiyoaki Ogawa, Koji Inoue, Jun Horino, Mika Kondo, Yasuteru Sakaida, Isao Korenaga, Masaaki Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title | Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title_full | Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title_fullStr | Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title_full_unstemmed | Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title_short | Establishing Efficient Systems through Electronic Medical Records to Promote Intra-hospital Referrals of Hepatitis Virus Carriers to Hepatology Specialists: A Multicenter Questionnaire-based Survey of 1,281 Healthcare Professionals |
title_sort | establishing efficient systems through electronic medical records to promote intra-hospital referrals of hepatitis virus carriers to hepatology specialists: a multicenter questionnaire-based survey of 1,281 healthcare professionals |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7925281/ https://www.ncbi.nlm.nih.gov/pubmed/33518608 http://dx.doi.org/10.2169/internalmedicine.4748-20 |
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