There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care
Abstract Background Liver cancer rates are rising and hepatitis C virus (HCV) is the primary cause. The CDC recommends a one-time HCV screening for all persons born 1945–1965 (baby boomers). However, 14% of baby boomers have been screened. Few studies have examined primary care providers’ (PCP) pers...
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doaj-57a26853cfff4f86824b1916ef9352b92020-12-06T12:27:32ZengBMCBMC Family Practice1471-22962020-12-0121111010.1186/s12875-020-01327-2There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary careMonica L. Kasting0Julie Rathwell1Kaitlyn M. Gabhart2Jennifer Garcia3Richard G. Roetzheim4Olveen Carrasquillo5Anna R. Giuliano6Susan T. Vadaparampil7Department of Public Health, Purdue UniversityCenter for Immunization and Infection Research in Cancer, H. Lee Moffitt Cancer CenterDepartment of Public Health, Purdue UniversityDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer CenterDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer CenterDivision of General Internal Medicine, University of MiamiCenter for Immunization and Infection Research in Cancer, H. Lee Moffitt Cancer CenterCenter for Immunization and Infection Research in Cancer, H. Lee Moffitt Cancer CenterAbstract Background Liver cancer rates are rising and hepatitis C virus (HCV) is the primary cause. The CDC recommends a one-time HCV screening for all persons born 1945–1965 (baby boomers). However, 14% of baby boomers have been screened. Few studies have examined primary care providers’ (PCP) perspectives on barriers to HCV screening. This study examines current HCV screening practices, knowledge, barriers, and facilitators to HCV screening recommendation for baby boomers among PCPs. Methods We conducted a mixed methods pilot study of PCPs. Quantitative: We surveyed PCPs from 3 large academic health systems assessing screening practices, knowledge (range:0–9), self-efficacy to identify and treat HCV (range:0–32), and barriers (range:0–10). Qualitative: We conducted interviews assessing patient, provider, and clinic-level barriers to HCV screening for baby boomers in primary care. Interviews were audio recorded, transcribed, and analyzed with content analysis. Results The study sample consisted of 31 PCPs (22 survey participants and nine interview participants). All PCPs were aware of the birth cohort screening recommendation and survey participants reported high HCV testing recommendation, but qualitative interviews indicated other priorities may supersede recommending HCV testing. Provider knowledge of viral transmission was high, but lower for infection prevalence. While survey participants reported very few barriers to HCV screening in primary care, interview participants provided a more nuanced description of barriers such as lack of time. Conclusions There is a need for provider education on both HCV treatment as well as how to effectively recommend HCV screening for their patients. As HCV screening guidelines continue to expand to a larger segment of the primary care population, it is important to understand ways to improve HCV screening in primary care.https://doi.org/10.1186/s12875-020-01327-2Hepatitis CScreeningHealth services researchProfessional practice gapsAttitude of health personnelPrimary care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Monica L. Kasting Julie Rathwell Kaitlyn M. Gabhart Jennifer Garcia Richard G. Roetzheim Olveen Carrasquillo Anna R. Giuliano Susan T. Vadaparampil |
spellingShingle |
Monica L. Kasting Julie Rathwell Kaitlyn M. Gabhart Jennifer Garcia Richard G. Roetzheim Olveen Carrasquillo Anna R. Giuliano Susan T. Vadaparampil There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care BMC Family Practice Hepatitis C Screening Health services research Professional practice gaps Attitude of health personnel Primary care |
author_facet |
Monica L. Kasting Julie Rathwell Kaitlyn M. Gabhart Jennifer Garcia Richard G. Roetzheim Olveen Carrasquillo Anna R. Giuliano Susan T. Vadaparampil |
author_sort |
Monica L. Kasting |
title |
There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care |
title_short |
There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care |
title_full |
There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care |
title_fullStr |
There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care |
title_full_unstemmed |
There’s just not enough time: a mixed methods pilot study of hepatitis C virus screening among baby boomers in primary care |
title_sort |
there’s just not enough time: a mixed methods pilot study of hepatitis c virus screening among baby boomers in primary care |
publisher |
BMC |
series |
BMC Family Practice |
issn |
1471-2296 |
publishDate |
2020-12-01 |
description |
Abstract Background Liver cancer rates are rising and hepatitis C virus (HCV) is the primary cause. The CDC recommends a one-time HCV screening for all persons born 1945–1965 (baby boomers). However, 14% of baby boomers have been screened. Few studies have examined primary care providers’ (PCP) perspectives on barriers to HCV screening. This study examines current HCV screening practices, knowledge, barriers, and facilitators to HCV screening recommendation for baby boomers among PCPs. Methods We conducted a mixed methods pilot study of PCPs. Quantitative: We surveyed PCPs from 3 large academic health systems assessing screening practices, knowledge (range:0–9), self-efficacy to identify and treat HCV (range:0–32), and barriers (range:0–10). Qualitative: We conducted interviews assessing patient, provider, and clinic-level barriers to HCV screening for baby boomers in primary care. Interviews were audio recorded, transcribed, and analyzed with content analysis. Results The study sample consisted of 31 PCPs (22 survey participants and nine interview participants). All PCPs were aware of the birth cohort screening recommendation and survey participants reported high HCV testing recommendation, but qualitative interviews indicated other priorities may supersede recommending HCV testing. Provider knowledge of viral transmission was high, but lower for infection prevalence. While survey participants reported very few barriers to HCV screening in primary care, interview participants provided a more nuanced description of barriers such as lack of time. Conclusions There is a need for provider education on both HCV treatment as well as how to effectively recommend HCV screening for their patients. As HCV screening guidelines continue to expand to a larger segment of the primary care population, it is important to understand ways to improve HCV screening in primary care. |
topic |
Hepatitis C Screening Health services research Professional practice gaps Attitude of health personnel Primary care |
url |
https://doi.org/10.1186/s12875-020-01327-2 |
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