Knowledge, attitudes and barriers regarding vaccination against hepatitis A and B in patients with chronic hepatitis C virus infection: a survey of family medicine and internal medicine physicians in the United States

Abstract

Despite recommendations to vaccinate against HAV and HBV in patients with chronic HCV infection, physicians often do not test or vaccinate susceptible individuals. Interventions are needed to overcome the barriers identified and improve vaccination rates.

Hepatitis A and hepatitis B vaccination coverage among adults with chronic liver disease

“…Time constraints, cost and lack of adequate reimbursement for vaccination services, varying recommendations by government and national organizations, patients not disclosing high-risk behaviors, patient non-adherence to multiple office visits, and patient refusal are commonly reported by physicians as barriers to vaccinating adult patients with HepA and HepB vaccines [16–18, 20]. Lack of knowledge among physicians regarding indications for HepA and HepB vaccination has also been reported to be a barrier to vaccination [20].…”

“…Lack of knowledge among physicians regarding indications for HepA and HepB vaccination has also been reported to be a barrier to vaccination [20]. Studies have shown that a provider recommendation and offer for vaccination is strongly associated with patient vaccination [21].…”

Novel educational interventions in residency increase knowledge of chronic liver disease and career interest in hepatology

“…(13) However, several studies have revealed that residents and primary care providers are poorly prepared to manage various aspects of CLD. (14)(15)(16)(17)(18)(19)(20)(21)(22) Furthermore, we have demonstrated that graduating postgraduate year (PGY) 3 residents did not frequently rotate on an elective hepatology rotation, despite viewing it as integral to their training. (21) Consequently, we established a novel, nonelective, inpatient hepatology rotation with a complementary curriculum that uses required modules in the ACT-First Hepatitis B and C curricula as well as in LiverLearning.…”

A Quality Improvement Project to Increase Hepatitis A and B Vaccination in Adults with Hepatitis C in a Federally Qualified Health Center

“…HCV infection is a leading cause of chronic liver disease and the primary indication for liver transplantation in the United States (US) (Tenner, et al, 2012). Estimated to affect 130 to 185 million of the world's population, nearly 500,000 people die of HCV-related conditions each year (Denniston et al, 2014).…”

“…A 2-page questionnaire was mailed to 3,000 primary care and internal medicine physicians randomly selected from the AMA Physician Masterfile in 2006 for a study conducted by Tenner et al, (2012). The purpose of the study was to determine primary care physician knowledge, attitudes, and barriers to vaccination against HAV and HBV in patients with chronic liver disease due to HCV, and to evaluate whether these differ between family medicine and internal medicine was automatically generated by the EMR.…”