Current practice patterns of primary care physicians in the management of patients with hepatitis C.

摘要: Approximately 4 million Americans are infected with the hepatitis C virus (HCV). Most patients have no symptoms until cirrhosis is established. Thus, initial diagnosis and management of rely on primary care physicians identifying screening high-risk individuals. We administered a survey to 1,233 in health maintenance organization (HMO) April 1997 assess their knowledge risk factors for HCV infection approach 2 hypothetical antibody-positive patients, 1 elevated other normal alanine transaminase (ALT). Four hundred four (33%) returned survey. Ninety percent respondents correctly identified infection, but 20% still considered blood transfusion 1994 as significant factor infection. Sixty-two would refer abnormal levels, 33% follow these themselves, even though none had treated any patient own. Forty-three overestimated, while 29% did not know efficacy interferon treatment. Sixty-five retest antibody, regardless levels. found that most appropriately managed there was considerable confusion about use tests effectiveness Educational programs needed implement initiate further evaluation those who test positive.