密歇根东南部综合卫生系统中丙型肝炎筛查与护理衔接的健康差异

数据集获取（Figshare）

• 源站标题：Health Disparities in Hepatitis C Screening and Linkage to Care at an Integrated Health System in Southeast Michigan
• DOI：10.1371/journal.pone.0161241
• 发布日期：2016-08-15
• 文件数：5 个
• 文件总体积：268.31 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Health_Disparities_in_Hepatitis_C_Screening_and_Linkage_to_Care_at_an_Integrated_Health_System_in_Southeast_Michigan/3589287

命令行下载

curl -L -o "S1 Table.DOCX" "https://ndownloader.figshare.com/files/5675331"
curl -L -o "S2 Table.DOCX" "https://ndownloader.figshare.com/files/5675349"
curl -L -o "S3 Table.DOCX" "https://ndownloader.figshare.com/files/5675355"
curl -L -o "S4 Table.DOCX" "https://ndownloader.figshare.com/files/5675367"
curl -L -o "S5 Table.DOCX" "https://ndownloader.figshare.com/files/5675385"

文件清单

• S1 Table.DOCX（39.49 KB）
• S2 Table.DOCX（43.11 KB）
• S3 Table.DOCX（65.72 KB）
• S4 Table.DOCX（62.93 KB）
• S5 Table.DOCX（57.05 KB）

文件总体积 268.31 KB（源站 API 实测）。

数据说明

With recommended screening for hepatitis C among the 1945–1965 birth cohort and advent of novel highly effective therapies, little is known about health disparities in the Hepatitis C care cascade. Our objective was to evaluate hepatitis C screening rates and linkage to care, among patients who test positive, at our large integrated health system. We used electronic medical records to retrospectively identify patients, in the birth cohort, who were seen in 21 Internal Medicine clinics from July 2014 to June 2015. Patients previously screened for hepatitis C and those with established disease were excluded. We studied patients’ sociodemographic and medical conditions along with provider-specific factors associated with likelihood of screening. Patients who tested positive for HCV antibody were reviewed to assess appropriate linkage to care and treatment. Of 40,561 patients who met inclusion criteria, 21.3% (8657) were screened, 1.3% (109) tested positive, and 30% (30/100) completed treatment. Multivariate logistic regression showed that African American race, male gender, electronic health engagement, residency teaching clinic visit, and having more than one clinic visit were associated with higher odds of screening. Patients had a significant decrease in the likelihood of screening with sequential interval increase in their Charlson comorbidity index. When evaluating hepatitis C treatment in patients who screened positive, electronic health engagement was associated with higher odds of treatment whereas Medicaid insurance was associated with significantly lower odds. This study shows that hepatitis C screening rates and linkage to care continue to be suboptimal with a significant impact of multiple sociodemographic and insurance factors. Electronic health engagement emerges as a tool in linking patients to the hepatitis C care cascade.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0161241（source: https://plos.figshare.com/articles/dataset/Health_Disparities_in_Hepatitis_C_Screening_and_Linkage_to_Care_at_an_Integrated_Health_System_in_Southeast_Michigan/3589287）。