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A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware

OBJECTIVES: We conducted a qualitative study of primary care providers to assess the challenges and opportunities in implementing a universal screening program for Hepatitis C Virus (HCV) at an urban community-based health center serving a largely disadvantaged population. METHODS: Qualitative semi-...

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Autores principales: Jose, Rini, Kahal, Deborah, Testa, Karla, Goldstein, Neal D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Delaware Academy of Medicine / Delaware Public Health Association 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352400/
https://www.ncbi.nlm.nih.gov/pubmed/34467206
http://dx.doi.org/10.32481/djph.2021.07.006
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author Jose, Rini
Kahal, Deborah
Testa, Karla
Goldstein, Neal D.
author_facet Jose, Rini
Kahal, Deborah
Testa, Karla
Goldstein, Neal D.
author_sort Jose, Rini
collection PubMed
description OBJECTIVES: We conducted a qualitative study of primary care providers to assess the challenges and opportunities in implementing a universal screening program for Hepatitis C Virus (HCV) at an urban community-based health center serving a largely disadvantaged population. METHODS: Qualitative semi-structured interviews of prescribing providers took place pre- and post-educational intervention, at a single federally qualified health center in Wilmington, Delaware, between September 2018 and July 2019. The intervention included a two-day didactic session and shadowing specialist providers. Data captured provider perspectives on universal screening and treatment. The interviews were transcribed verbatim, then grouped into codes, then finally, themes. RESULTS: Emergent themes included hesitancy in managing universal screening programs in the primary care environment, positive attitudes surrounding treatment, fewer HCV cases than expected, and concern with both patient-level barriers and practice-level barriers. Pre-intervention and post-intervention themes were similar. CONCLUSIONS: Implementation programs exploring universal HCV screening in the primary care environment should include educational opportunities that are available to all individuals in the practice, sustained organizational support, and available patient literature targeted to patients with varying health literacy and in languages other than English. In short, universal HCV screening and treatment is feasible in the primary medical environment but requires ongoing support and education for providers to ensure success.
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spelling pubmed-83524002021-08-30 A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware Jose, Rini Kahal, Deborah Testa, Karla Goldstein, Neal D. Dela J Public Health Article OBJECTIVES: We conducted a qualitative study of primary care providers to assess the challenges and opportunities in implementing a universal screening program for Hepatitis C Virus (HCV) at an urban community-based health center serving a largely disadvantaged population. METHODS: Qualitative semi-structured interviews of prescribing providers took place pre- and post-educational intervention, at a single federally qualified health center in Wilmington, Delaware, between September 2018 and July 2019. The intervention included a two-day didactic session and shadowing specialist providers. Data captured provider perspectives on universal screening and treatment. The interviews were transcribed verbatim, then grouped into codes, then finally, themes. RESULTS: Emergent themes included hesitancy in managing universal screening programs in the primary care environment, positive attitudes surrounding treatment, fewer HCV cases than expected, and concern with both patient-level barriers and practice-level barriers. Pre-intervention and post-intervention themes were similar. CONCLUSIONS: Implementation programs exploring universal HCV screening in the primary care environment should include educational opportunities that are available to all individuals in the practice, sustained organizational support, and available patient literature targeted to patients with varying health literacy and in languages other than English. In short, universal HCV screening and treatment is feasible in the primary medical environment but requires ongoing support and education for providers to ensure success. Delaware Academy of Medicine / Delaware Public Health Association 2021-07-15 /pmc/articles/PMC8352400/ /pubmed/34467206 http://dx.doi.org/10.32481/djph.2021.07.006 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/The journal and its content is copyrighted by the Delaware Academy of Medicine / Delaware Public Health Association (Academy/DPHA). This DJPH site, its contents, and its metadata are licensed under Creative Commons License - CC BY-NC-ND. (Please click to read (https://creativecommons.org/licenses/by-nc-nd/4.0/) common-language details on this license type, or copy and paste the following into your web browser: https://creativecommons.org/licenses/by-nc-nd/4.0/). Images are NOT covered under the Creative Commons license and are the property of the original photographer or company who supplied the image. Opinions expressed by authors of articles summarized, quoted, or published in full within the DJPH represent only the opinions of those authors and do not necessarily reflect the official policy of the Academy/DPHA or the institution with which the authors are affiliated.
spellingShingle Article
Jose, Rini
Kahal, Deborah
Testa, Karla
Goldstein, Neal D.
A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title_full A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title_fullStr A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title_full_unstemmed A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title_short A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware
title_sort qualitative study of implementing universal hepatitis c screening among adults at an urban community-based health provider in delaware
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352400/
https://www.ncbi.nlm.nih.gov/pubmed/34467206
http://dx.doi.org/10.32481/djph.2021.07.006
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