Hepatitis B Evaluation and Linkage to Care for Newly Arrived Refugees: A Multisite Quality Improvement Initiative
| Autor: | Patricia F. Walker, Emily S. Jentes, Lori Kennedy, Katherine Yun, Janine Young, Deborah Aragon, Daniel White, Carol Tumaylle, Colleen Payton, Malini B. DeSilva, Blain Mamo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Epidemiology Refugee Hepatitis C virus medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Hepatitis B virus Hepatitis 030505 public health biology business.industry Public health Public Health Environmental and Occupational Health virus diseases Hepatitis B medicine.disease digestive system diseases Alanine transaminase biology.protein Antibody 0305 other medical science business |
| Zdroj: | Journal of Immigrant and Minority Health. 23:558-565 |
| ISSN: | 1557-1920 1557-1912 |
| DOI: | 10.1007/s10903-020-01058-7 |
| Popis: | A quality improvement collaborative evaluated Hepatitis B virus (HBV) care for resettled refugees and identified strategies to enhance care. 682 of the 12,934 refugees from five refugee health clinics in Colorado, Minnesota, and Pennsylvania had chronic HBV. Timely care was defined relative to a HBsAg + result: staging (HBV DNA, hepatitis Be antigen, hepatitis Be antibody, alanine transaminase testing) within 14 days, comorbid infection screening (hepatitis C virus and HIV) within 14 days, and linkage to care (HBV specialist referral within 30 days and visit within 6 months). Completed labs included: HBV DNA (93%), hepatitis Be antigen (94%), hepatitis Be antibody (92%), alanine transaminase (92%), hepatitis C screening (86%), HIV screening (97%). 20% had HBV specialist referrals within 30 days; 36% were seen within 6 months. Standardized reflex HBV testing and specialist referral should be prioritized at the initial screening due to the association with timely care. |
| Databáze: | OpenAIRE |
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