Knowledge and practices of chronic hepatitis B virus testing by general practitioners in Victoria, Australia, 2014-15.

Q3 Medicine Australian family physician Pub Date : 2017-09-01

Caroline van Gemert, Jess Howell, Julie Wang, Mark Stoove, Benjamin Cowie, Nicole Allard, Chris Enright, Elisabeth Dunn, Vanessa Towell, Margaret Hellard

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引用次数: 0

Abstract

Background: More than one-third of people living with chronic hepatitis B virus (HBV) in Australia have not been diagnosed. The aim of this study was to assess general practitioners' (GPs') knowledge and practices regarding chronic HBV diagnosis, and identify opportunities to improve testing rates.

Methods: A cross-sectional survey was conducted with GPs working in Victoria, Australia. Statistically significant adjusted odds ratios for high knowledge, and ordering two or more HBV tests per week were calculated.

Results: Of 1000 GPs who were invited to participate, 232 completed the survey. Chronic HBV knowledge, use of interpreters, and awareness of HBV testing guidelines were low. Chronic HBV knowledge and testing were associated with age and graduation from a medical school outside Australia. Testing was also associated with gender.

Discussion: This study identified gaps in GPs' knowledge about chronic hepatitis. Several barriers to improving testing rates among at-risk populations were identified. We recommend revision of the guidelines for prevention in general practice, and educational activities to improve knowledge of at-risk populations for chronic HBV in Australia.

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2014- 2015年澳大利亚维多利亚州全科医生慢性乙型肝炎病毒检测的知识和实践

背景:在澳大利亚，超过三分之一的慢性乙型肝炎病毒(HBV)患者尚未被诊断出来。本研究的目的是评估全科医生(gp)关于慢性HBV诊断的知识和实践，并确定提高检测率的机会。方法:对在澳大利亚维多利亚州工作的全科医生进行横断面调查。高知识和每周安排两次或两次以上HBV检测的校正优势比计算具有统计学意义。结果:邀请1000名全科医生参与调查，其中232人完成了调查。慢性HBV知识、口译员的使用以及对HBV检测指南的认识较低。慢性HBV知识和检测与年龄和从澳大利亚以外的医学院毕业有关。测试也与性别有关。讨论:本研究确定了全科医生对慢性肝炎知识的差距。确定了提高高危人群检测率的几个障碍。我们建议在一般实践中修订预防指南，并开展教育活动，以提高对澳大利亚慢性HBV高危人群的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian family physician 医学-医学：内科

CiteScore

0.61

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.

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