自动选择退出丙型肝炎检测，减少急诊科错过筛查机会。

IF 9.6 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of public health Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI:10.2105/AJPH.2024.307783

Heather Sperring, Glorimar Ruiz-Mercado, Brian J Yun, David Twitchell, Bhavesh Shah, Elissa M Schechter-Perkins

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引用次数: 0

摘要

我们评估了在一个丙型肝炎（HCV）高发的城市学术医疗中心急诊科实施自动丙型肝炎（HCV）选择退出筛查的影响，而该急诊科长期以来采用的是丙型肝炎（HCV）选择加入筛查模式。我们对实施前后九个月的情况进行了比较。HCV检测率提高了502%，活动性HCV感染识别率提高了212%。在急诊科等有大量机会进行 HCV 诊断的场所，应考虑选择退出 HCV 筛查模式。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307783 ）。

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Automated Opt-Out Hepatitis C Testing to Reduce Missed Screening Opportunities in the Emergency Department.

We evaluated the impact of implementing automated hepatitis C (HCV) opt-out screening in the emergency department of an urban, academic medical center with high HCV prevalence, in the context of a longstanding HCV opt-in screening model. We compared nine-month periods before and after implementation. HCV testing increased by 502%, and active HCV infection identification increased by 212%. Settings where there is great opportunity for HCV diagnosis, such as emergency department settings, should consider opt-out HCV screening models. (Am J Public Health. 2024;114(11):1228-1231. https://doi.org/10.2105/AJPH.2024.307783).

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来源期刊

American journal of public health 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.50

自引率

3.90%

发文量

1109

审稿时长

2-4 weeks

期刊介绍： The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.

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