Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic

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) te...

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Main Authors: A. Jewett, A. A. Al-Tayyib, L. Ginnett, B. D. Smith
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2013/528904
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author A. Jewett
A. A. Al-Tayyib
L. Ginnett
B. D. Smith
author_facet A. Jewett
A. A. Al-Tayyib
L. Ginnett
B. D. Smith
author_sort A. Jewett
collection DOAJ
description 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.
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spelling doaj-art-165dd9bf676d410692297d6055e3276d2025-02-03T06:01:21ZengWileyAIDS Research and Treatment2090-12402090-12592013-01-01201310.1155/2013/528904528904Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health ClinicA. Jewett0A. A. Al-Tayyib1L. Ginnett2B. D. Smith3Oak Ridge Institute for Science and Education, 1600 Clifton Road, MS C-01, Atlanta, GA 30333, USADenver Public Health, Denver, CO 80204, USADenver Public Health, Denver, CO 80204, USACenters for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, GA 30329, USABackground. 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.http://dx.doi.org/10.1155/2013/528904
spellingShingle A. Jewett
A. A. Al-Tayyib
L. Ginnett
B. D. Smith
Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
AIDS Research and Treatment
title Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
title_full Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
title_fullStr Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
title_full_unstemmed Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
title_short Successful Integration of Hepatitis C Virus Point-of-Care Tests into the Denver Metro Health Clinic
title_sort successful integration of hepatitis c virus point of care tests into the denver metro health clinic
url http://dx.doi.org/10.1155/2013/528904
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