RT Journal Article
T1 Peer-to-Peer Sessions in Primary Care to Improve the Hepatitis B Detection Rate in Seville, Spain
A1 Otero, Maria Angeles
A1 Liu, Chang-Hai
A1 Ampuero, Javier
A1 Llorca, Rocio
A1 Vargas, Manuel
A1 Vargas-Romero, Julio
A1 Romero-Gomez, Manuel
K1 Hepatitis B virus
K1 Referral rate
K1 Surface-antigen
K1 Identification
K1 Education
K1 Campaign
K1 Linkage
K1 Impact
AB Introduction and aim. The detection of hepatitis B virus (HBV) Introduction and aim. depends on primary care center activity. The present study aims to investigate the impact of peer-to-peer sessions with hepatologists on hepatitis B screening efficacy in primary care centers. Material and methods. terial and methods. Peer-to-peer terial and methods. one-hour sessions were scheduled to improve the screening program for HBV in Seville, Spain. The sessions were focused on who should be tested for HBV and how positive cases should be referred. Fourteen out of 26 health care centers were selected to participate in peer-to-peer sessions. The centers were classified according to how many sessions they held (no sessions, one session or more than one session). Results. Over a fi Results.Results. ve-year period, HBV screening was performed in 32 203 people. In Seville, the prevalence of HBsAg was 0.87% (283/32 203). The detection rates for new HBsAg-positive cases were 7.1, 16.9 and 21.3 cases/105 population/year in non-session, one-time session and more than one session centers, respectively (p < 0.05). The rate of patients who effectively visited centers as outpatients was significantly higher after peer-to-peer sessions-86/94 (91%) for one session and 81/89 (91%) for two session centers vs. 16/27 (67%) for non-session centers (p = 0.002). The only independent predictor of patient referral was peer-to-peer sessions (OR, 1.925 [95% CI, 1.002-3.699]; p < 0.05). Conclusions. Peer-to-peer sessi sions. ons in primary care centers increased HBV detection and visitation rates.
PB Elsevier espana
PB Asociacion Mexicana de Hepatologia
SN 1665-2681
YR 2018
FD 2018-09-01
LK http://hdl.handle.net/10668/19381
UL http://hdl.handle.net/10668/19381
LA en
NO Otero MÁ, Liu CH, Ampuero J, Llorca R, Vargas M, Vargas-Romero J., et al. Peer-to-Peer Sessions in Primary Care to Improve the Hepatitis B Detection Rate in Seville, Spain. Ann Hepatol. 2018 Aug 24;17(5):864-870.
DS RISalud
RD Apr 9, 2025