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首页> 外文期刊>The Journal of Graduate Medical Education >A Resident Initiative Improves Hepatitis C Screening Rates in Primary Care Clinics
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A Resident Initiative Improves Hepatitis C Screening Rates in Primary Care Clinics

机译:居民倡议提高了初级保健诊所的丙型肝炎筛查率

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Background?Electronic reminders for clinical patient counseling have proven to be an effective response to national recommendations to increase risk factor and birth cohort hepatitis C virus (HCV) screening. It is not known whether a resident-led educational intervention alone could increase screening rates where support for electronic intervention may be limited.Objective?We determined whether a resident-designed and resident-implemented educational intervention would significantly improve HCV screening rates in primary care clinics.Methods?The baseline HCV screening rate was determined retrospectively in our resident community-based primary care clinics. We then implemented an educational intervention that included presenting during resident conference, posting signs in resident work areas, and providing educational pamphlets to patients. We collected screening rate data at 3 and 6 months postintervention. The screening rate was defined as patients screened in clinic divided by the number of patients eligible for screening.Results?The screening rate increased significantly from preintervention (6%, 64 of 1023) to 3 months (35%, 363 of 1026) and 6 months (41%, 443 of 1070) and between 3 and 6 months ( P ?
机译:背景技术已经证明,对临床患者咨询的电子提醒是对提高危险因素和出生队列丙型肝炎病毒(HCV)筛查的国家建议的有效回应。目前尚不清楚仅由居民主导的教育干预措施是否会增加筛查率,而对电子干预措施的支持可能有限。目的?我们确定了由居民设计并由居民实施的教育干预措施能否显着提高初级保健诊所的HCV筛查率方法:在我们常驻社区的初级保健诊所回顾性确定基线HCV筛查率。然后,我们实施了一项教育干预措施,包括在常驻会议期间进行演讲,在常驻工作区张贴标志以及向患者提供教育手册。我们收集了干预后3个月和6个月的筛查率数据。筛查率定义为临床筛查患者除以符合筛查条件的患者人数。结果筛查率从干预前(6%,1023的64)增加到3个月(35%,1026的363)和6个月显着增加个月(41%,1070的443)和3到6个月之间的时间(P 。0.001)。在接受干预前(62%,26中的16)和6个月(81%,130中的105)之间,以及在3个月(67%,141中的95)之间和6个月之间,接受检查的筛查患者百分比显着增加(P? = ?. 019)。结论:居民设计和实施的教育干预措施显着提高了社区居民诊所中HCV的筛查和检测率。

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