Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic.
Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic.
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DOI：
10.1155/2013/528904
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发表时间：
2013
影响因子：
1.7
通讯作者：
Smith BD
中科院分区：
文献类型：
--
作者：
Jewett A;Al-Tayyib AA;Ginnett L;Smith BD
背景疾病控制和预防中心（CDC）建议检测和联系，以照顾最有可能感染丙型肝炎病毒（HCV）的人，包括人类免疫缺陷病毒感染者。我们探讨了促进因素和障碍，将丙型肝炎病毒的护理点（POC）检测纳入标准操作在城市性病诊所。方法. OraQuick HCV快速抗体测试在丹佛地铁健康诊所（DMHC）进行了整合。所有至少有一个风险因素的客户都提供了POC测试。研究人员与客户进行了访谈（三个HCV阳性和九个HCV阴性）。焦点小组进行了分流工作人员，供应商和链接到护理顾问。结果客户对HCV POC检测的易用性和快速返回结果感到满意。将测试集成到这个设置中需要更多的时间，但并不过分繁重。虽然咨询信息对工作人员很清楚，但客户对丙型肝炎感染或与风险相关的因素知之甚少。将HCV POC检测纳入临床操作的障碍是失访和获得护理。结论DMHC成功整合了HCV POC检测，并试行了HCV与护理计划的联系。在性病诊所提供检测机会可以增加对HCV感染者的识别。
Background. The Centers for Disease Control and Prevention (CDC) recommends testing and linkage to care for persons most likely infected with hepatitis C virus (HCV), including persons with human immunodeficiency virus. We explored facilitators and barriers to integrating HCV point-of-care (POC) testing into standard operations at an urban STD clinic. Methods. The OraQuick HCV rapid antibody test was integrated at the Denver Metro Health Clinic (DMHC). All clients with at least one risk factor were offered the POC test. Research staff conducted interviews with clients (three HCV positive and nine HCV negative). Focus groups were conducted with triage staff, providers, and linkage-to-care counselors. Results. Clients were pleased with the ease of use and rapid return of results from the HCV POC test. Integrating the test into this setting required more time but was not overly burdensome. While counseling messages were clear to staff, clients retained little knowledge of hepatitis C infection or factors related to risk. Barriers to integrating the HCV POC test into clinic operations were loss to follow-up and access to care. Conclusion. DMHC successfully integrated HCV POC testing and piloted a HCV linkage-to-care program. Providing testing opportunities at STD clinics could increase identification of persons with HCV infection.