Audio‐computer‐assisted survey interview and patient navigation to increase chronic viral hepatitis diagnosis and linkage to care in urban health clinics

Torre, Andrew N. de la; Castaneda, Ismael; Ahmad, Maliha; Ekholy, N.; Tham, Nicole; Herrera, Iris; Beaty, P.; Malapero, Raymond J.; Ayoub, Farhan; Slim, J.; Johnson, Matt

doi:10.1111/jvh.12744

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…The definition of linkage to care varies across studies. Studies have defined linkage as confirmatory HCV RNA testing in patients found to have HCV antibodies,16–19 referral to specialty clinics among viremic patients,8,20–29 or both 30–35. Two studies defined linkage to care as receiving HCV RNA testing, referral to specialty care and attending the first appointment with the specialist 36,37.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis C Screening: Barriers to Linkage to Care

Saab

Challita

Najarian

et al. 2019

Journal of Clinical and Translational Hepatology

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Background and Aims: Hepatitis C (HCV) is a medical and public health concern. Once infected individuals are identified, management includes not only education but also the use of antiviral therapy. Although screening for HCV is readily available, barriers exist which prevent assessment and treatment in individuals potentially infected with HCV.Methods: This is a retrospective study of patients screened for HCV within the University of California, Los Angeles Health Care System between February 22 and July 9, 2018. We defined linkage to care as: 1) confirmatory HCV RNA test after screening HCV antibody test found a positive result; and 2) follow-up appointment for treatment was established with a specialist. Demographic and baseline laboratory values were collected. Factors potentially associated with prohibiting linkage of care were evaluated.Results: During the study period, 17,512 individuals were screened for HCV. A total of 238 (1.35%) were found to have detectable HCV antibodies. Of the individuals with detectable HCV antibodies, 48 (20%) did not undergo confirmatory testing with viral levels. Of the 190 individuals who underwent further testing, 70 patients were noted to be viremic. Among them, 17 of the 70 (24%) were not linked to a specialist for further care. Younger patients (p = 0.02) and people who inject drugs (p = 0.02) were less likely to be referred for specialty care.Conclusions: The results of our study highlight that younger patients and people who inject drugs are less likely to be referred to specialty care for HCV treatment. Efforts are needed to engage these populations.

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Section: Discussionmentioning

confidence: 99%

Hepatitis C Screening: Barriers to Linkage to Care

Saab

Challita

Najarian

et al. 2019

Journal of Clinical and Translational Hepatology

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“…15 Though several methods have been reported to increase HIV, HCV and HBV risk reporting, additional computers and staffing are required and thus a lesser chance of broad implementation. 16,17 Electronic health record (EHR) systems may present an opportunity to improve screening for chronic illness. Algorithms can be built into EHR systems using combinations of structured data to identify patients at risk for diabetes, heart disease and liver disease.…”

Section: Although the Center For Disease Control And Prevention (Cdc)mentioning

confidence: 99%

“…Lack of knowledge and awareness regarding chronic viral hepatitis is common among physicians and patients, contributing to under‐reporting . Though several methods have been reported to increase HIV, HCV and HBV risk reporting, additional computers and staffing are required and thus a lesser chance of broad implementation …”

Section: Introductionmentioning

confidence: 99%

Electronic health record year and country of birth testing and patient navigation to increase diagnosis of chronic viral hepatitis

Torre

Ahmad

Ayoub

et al. 2019

Journal of Viral Hepatitis

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The United States Preventive Services Task Force recommends hepatitis C testing people born from 1945 to 1965, “birth cohort” as well as hepatitis C and hepatitis B testing people from countries of birth with endemic infection risk. We automated the hospital electronic health record system to test birth cohort and those born in countries with endemic infection risk. A script is launched searching the laboratory database upon registration for any hepatitis C antibody, hepatitis C RNA and/or hepatitis B surface antigen result. If no positive result was found, a hepatitis C antibody/reflex RNA and/or hepatitis B surface antigen were ordered. A patient navigator received weekly results and assisted patients with positive serology to schedule an appointment with their primary care provider or treatment specialist. A total of 10 726 participants were hepatitis C antibody tested, with 6.9% antibody positive. Monthly hepatitis C testing from January to July 2016 compared to August 2016‐August 2017 increased 342% as a result of "birth cohort" testing. Following country of birth testing, monthly hepatitis B and hepatitis C testing increased 91%, and 44%, respectively, during June‐August 2017 compared to September 2017‐March 2018. 67% of hepatitis C‐positive patients were linked to care. If the navigator contacted the patient, 92% were linked to care, and 32% were treated. Of hepatitis B surface antigen‐positive patients, 43% were linked to care, 5% were on treatment, and 15% started treatment. Automated electronic health record ordering of hepatitis C and/or hepatitis B testing is feasible and increases testing. In the population tested, much improvement is needed with linkage to care and treatment.

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“…In public health, assessment of the equilibrium of healthcare facilities is focused on multidimensional indicators and categories of elements, usually including one or more of the social, economic, health, and environmental dimensions [22][23][24]. Social and economic assessment studies include social health benefits, financial expenditures for the construction of healthcare facilities, service volume, and hospital class, while health and social environment assessments include the number of facilities in the region, the surrounding environment, land-uses, the health needs of the population, and the experience of accessing healthcare [25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Construction of a Spatial Equalization Assessment System for Medical Facilities

Liu,

Chen,

et al. 2024

Buildings

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The spatial equalization of medical facilities can alleviate the wastage of medical resources and improve the efficiency of medical services. Therefore, it is necessary to carry out spatially balanced planning and assessment of medical facilities in cities. Existing studies on the balanced planning, design, and evaluation of medical facilities have been conducted from the perspective of hospital buildings in terms of spatial utilization efficiency, service satisfaction, and their physical environment on one hand, and from the perspective of regional planning of medical facilities in terms of spatial accessibility to medical facilities and the suitability of medical facilities to the social environment on the other hand. This study hopes to break down the boundaries of each perspective and effectively integrate the architecture, planning, and social well-being of medical facilities, taking spatial equilibrium as the core, in order to establish a spatial equilibrium system for medical facilities and achieve a spatial equilibrium-based assessment of the current state of medical facilities. First, the factors influencing the spatial equilibrium of hospital buildings with the support of the system and environment of hospital buildings are determined. Second, the indicators of the spatial equilibrium of hospital buildings are extracted through the consideration of influencing factors, and the indicator weights are determined by discussing the degree to which they contribute to the influence of the operation of hospital building spatial equilibrium systems, thus forming a system of equilibrium indicators for hospital buildings. Finally, a spatial equilibrium evaluation model for hospital buildings is established to assess the effects of equilibrium. The results obtained in this study provide insights into the regional planning of medical facilities and the design of hospital buildings.

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Audio‐computer‐assisted survey interview and patient navigation to increase chronic viral hepatitis diagnosis and linkage to care in urban health clinics

Cited by 5 publications

References 26 publications

Hepatitis C Screening: Barriers to Linkage to Care

Hepatitis C Screening: Barriers to Linkage to Care

Electronic health record year and country of birth testing and patient navigation to increase diagnosis of chronic viral hepatitis

Construction of a Spatial Equalization Assessment System for Medical Facilities

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