Identifying and Fixing Roadblocks to Hepatitis C Screening in the Primary Care Setting

Szeto, Brandon; Venkat, Deepak; Cohen, Stanley M.

doi:10.14309/00000434-201410002-00426

Cited by 3 publications

(4 citation statements)

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“…Most of the studies examined both health care provider and patient populations. Health care providers included general practitioners, clinical representatives from hospitals, newly qualified doctors, medical students, resident physicians and nurses (8)(9)(10)(11)(12)(13)(14). Patient groups included adults born between 1945 and 1965; patients attending sexually transmitted infections (STI) clinics, outpatient clinics or primary care facilities; youth and adults working in HIV/HCV prevention; immigrant and migrant populations; and sex workers (10,12,13,(15)(16)(17)(18)(19)(20)(21)(22)(23).…”

Section: Resultsmentioning

confidence: 99%

“…Time constraints-more specifically, limited consultation times, competing priorities and lengthy pre-and post-test counselling procedures-were commonly cited barriers to HCV screening and testing (8,(10)(11)(12)(13). As a result, health care providers-especially general practitioners-did not routinely ask patients about HCV risk factors (8,21).…”

Section: Time Constraintsmentioning

confidence: 99%

“…In a study conducted in Scotland, health care providers also reported limited knowledge about counselling, to whom and where to refer diagnosed patients and protocols for testing (11). Lack of knowledge of screening guidelines was also a barrier (12).…”

Section: Lack Of Specific Knowledgementioning

confidence: 99%

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Barriers to and facilitators of hepatitis C virus screening and testing: A scoping review

Shehata

Austin

et al. 2018

CCDR

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Background: As part of the global effort to eliminate hepatitis C virus (HCV), it is important to understand the barriers to and facilitators of HCV screening and testing. Objective: To examine the barriers and facilitators experienced by health care providers offering HCV screening and testing and patients seeking HCV testing. Methods: A literature search was conducted using Embase, Medline and Scopus databases to collect studies published between January 2012 and July 2017. We extracted the following data: author, year of publication, study design, population, setting, country, method of data collection, and knowledge and awareness outcomes. Results: A total of 16 articles were identified. Barriers to HCV screening and testing among patients included low self-perceived risk of acquiring HCV, perceived stigma and fear of a positive result. Facilitators of HCV screening and testing, as reported by patients, included increased knowledge of transmission and manifestations of HCV infection and having HCV testing included as part of routine care with or without HIV testing. Barriers to offering HCV screening and testing included time constraints, lack of specific knowledge about HCV and discomfort in asking about risk behaviours. Facilitators of offering HCV screening and testing included testing reminders and working in locations with a higher HCV caseload. Conclusion: Lack of knowledge and fear of stigma and discrimination remain barriers to HCV testing at the patient level and lack of time, knowledge and discomfort in asking about risk behaviours remain barriers to offering HCV testing by health care providers. This identifies potential areas for future public health action.

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Section: Resultsmentioning

confidence: 99%

Section: Time Constraintsmentioning

confidence: 99%

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Barriers to and facilitators of hepatitis C virus screening and testing: A scoping review

Shehata

Austin

et al. 2018

CCDR

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“…Les contraintes de temps -plus spécifiquement, le temps de consultation limité, les priorités concurrentes et les longues procédures de soutien psychologique précédant et suivant le test de dépistage -étaient souvent citées comme des obstacles au dépistage du VHC (8,(10)(11)(12)(13). Il en résulte que les fournisseurs de soins de santé -particulièrement les médecins généralistesne posaient pas systématiquement à leurs patients de questions…”

Section: Contraintes De Tempsunclassified