Peer-to-Peer Sessions in Primary Care to Improve the Hepatitis B Detection Rate in Seville, Spain
| Autor: | Javier Ampuero, Manuel Vargas, Otero Ma, Manuel Romero-Gómez, Rocío Llorca, J. Vargas-Romero, Chang-Hai Liu |
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| Přispěvatelé: | [Angeles Otero, Maria] Serv Andaluz Salud, Cartera Serv, Subdirecc Accesibilidad & Continuidad Asistencial, Seville, Andalusia, Spain, [Liu, Chang-Hai] Inst Biomed Seville, Dept Digest Dis, Seville, Andalusia, Spain, [Ampuero, Javier] Inst Biomed Seville, Dept Digest Dis, Seville, Andalusia, Spain, [Romero-Gomez, Manuel] Inst Biomed Seville, Dept Digest Dis, Seville, Andalusia, Spain, [Ampuero, Javier] Univ Hosp Virgen del Rocio, Interctr Unit Digest Dis, Ciberehd, Seville, Andalusia, Spain, [Romero-Gomez, Manuel] Univ Hosp Virgen del Rocio, Interctr Unit Digest Dis, Ciberehd, Seville, Andalusia, Spain, [Ampuero, Javier] Univ Seville, Dept Med, Av Manuel Siurot S-N, Seville 41013, Andalusia, Spain, [Romero-Gomez, Manuel] Univ Seville, Dept Med, Av Manuel Siurot S-N, Seville 41013, Andalusia, Spain, [Llorca, Rocio] Valme Univ Hosp, UCM Digest Dis, Seville, Andalusia, Spain, [Vargas, Manuel] Hosp San Cecilio, Pediat Unit, Granada, Andalusia, Spain, [Vargas-Romero, Julio] Valme Univ Hosp, Microbiol & Infect Dis Unit, Seville, Andalusia, Spain |
| Rok vydání: | 2018 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Identification HBsAg Time Factors Specialties of internal medicine medicine.disease_cause Session (web analytics) 0302 clinical medicine Health care Medicine Peer Influence 030212 general & internal medicine Referral and Consultation education.field_of_study Linkage General Medicine Hepatitis B Impact RC581-951 Female 030211 gastroenterology & hepatology Detection rate Hepatitis B virus medicine.medical_specialty Attitude of Health Personnel Population Primary care Campaign Physicians Primary Care Education 03 medical and health sciences Hepatitis B Chronic Predictive Value of Tests Humans education Referral rate Patient Care Team Hepatitis B Surface Antigens Primary Health Care Hepatology business.industry Gastroenterologists medicine.disease Spain Family medicine Interdisciplinary Communication business Biomarkers Surface-antigen |
| Zdroj: | Annals of Hepatology, Vol 17, Iss 5, Pp 864-870 (2018) |
| ISSN: | 1665-2681 |
| DOI: | 10.5604/01.3001.0012.3162 |
| Popis: | Introduction and aim. The detection of hepatitis B virus (HBV) depends on primary care center activity. The present study aims to investigate the impact of peer-to-peer sessions with hepatologists on hepatitis B screening efficacy in primary care centers.Material and methods. Peer-to-peer one-hour sessions were scheduled to improve the screening program for HBV in Seville, Spain. The sessions were focused on who should be tested for HBV and how positive cases should be referred. Fourteen out of 26 health care centers were selected to participate in peer-to-peer sessions. The centers were classified according to how many sessions they held (no sessions, one session or more than one session).Results. Over a five-year period, HBV screening was performed in 32 203 people. In Seville, the prevalence of HBsAg was 0.87% (283/32 203). The detection rates for new HBsAg-positive cases were 7.1, 16.9 and 21.3 cases/105 population/year in non-session, one-time session and more than one session centers, respectively (p < 0.05). The rate of patients who effectively visited centers as outpatients was significantly higher after peer-to-peer sessions-86/94 (91%) for one session and 81/89 (91%) for two session centers vs. 16/27 (67%) for non-session centers (p = 0.002). The only independent predictor of patient referral was peer-to-peer sessions (OR, 1.925 [95% CI, 1.002-3.699]; p < 0.05).Conclusions. Peer-to-peer sessions in primary care centers increased HBV detection and visitation rates. |
| Databáze: | OpenAIRE |
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