ArticlePublic health reports (Washington, D.C. : 1974)
Integrating Routine HCV Testing in Primary Care: Lessons Learned from Five Federally Qualified Health Centers in Philadelphia, Pennsylvania, 2012-2014.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 37 citations in OpenAlex.
- Lessons learned from viral hepatitis testing that inform law and policy responses to steatotic liver disease.Nature reviews. Gastroenterology & hepatology · 2026Review
- Cost-Effectiveness of Point-of-Care Hepatitis C Virus RNA Testing in the US.JAMA network open · 2026Article
- Community Versus Facility-Based Services to Improve the Screening of Active Hepatitis C Virus Infection in Cambodia: The ANRS 12384 CAM-C Cluster Randomized Controlled Trial-Protocol for a Mixed Methods Study.JMIR research protocols · 2024Article
- Primary healthcare as a strategy for eliminating hepatitis C: the METRIC toolkit.Primary health care research & development · 2024Article
- Examining County-Level Associations between Federally Qualified Health Centers and Sexually Transmitted Infections: A Political Ecology of Health Framework.Healthcare (Basel, Switzerland) · 2024Article
- Hepatitis C Antibody Screening Among Baby Boomers by a Community-Based Health Insurance Company.Population health management · 2021Article
- A Qualitative Study of Implementing Universal Hepatitis C Screening Among Adults at an Urban Community-Based Health Provider in Delaware.Delaware journal of public health · 2021Article
- Using the electronic medical record to increase testing for HIV and hepatitis C virus in an Appalachian emergency department.BMC health services research · 2021Article
- Three Years of Progress Toward Achieving Hepatitis C Elimination in the Country of Georgia, April 2015-March 2018.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Patient and provider-level barriers to hepatitis C screening and linkage to care: A mixed-methods evaluation.Journal of viral hepatitis · 2020Article
- Improved Hepatitis C Cure Cascade Outcomes Among Urban Baby Boomers in the Direct-Acting Antiviral Era.Public health reports (Washington, D.C. : 1974) · 2020Article
- Testing for Hepatitis C in Pregnancy: the Time has Come for Routine Rather than Risk-based.Current hepatology reports · 2019Article
- HCV screening, linkage to care, and treatment patterns at different sites across one academic medical center.PloS one · 2019Article
- Leveraging the electronic health record to eliminate hepatitis C: Screening in a large integrated healthcare system.PloS one · 2019Article
- Ledipasvir/Sofosbuvir Effectively Treats Hepatitis C Virus Infections in an Underserved Population.Digestive diseases and sciences · 2018Article
- Economic Comparison of Serologic and Molecular Screening Strategies for Hepatitis C Virus.Gastroenterology & hepatology · 2018Article
- Prevalence of Hepatitis C Screening, Testing, and Care Experience Among Young Adults Who Use Prescription Opioids Nonmedically.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
- Improving support and education of low-income baby boomers diagnosed with chronic hepatitis C virus infection through universal screening.Journal of clinical nursing · 2017Article
- The HepTestContest: a global innovation contest to identify approaches to hepatitis B and C testing.BMC infectious diseases · 2017Article
- Hepatitis C: Review of the Epidemiology, Clinical Care, and Continued Challenges in the Direct Acting Antiviral Era.Current epidemiology reports · 2017Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAn estimated 2.7-3.9 million Americans are infected with hepatitis C virus (HCV). Despite being the most common blood-borne virus in the United States, routine HCV testing is not commonly practiced. To address this gap, we measured the impact of integrated routine HCV testing on patient care.
methodsAs part of CDC's Hepatitis Testing and Linkage to Care initiative, which promoted viral hepatitis B and hepatitis C screening, posttest counseling, and linkage to care at 34 U.S. sites, National Nursing Centers Consortium integrated a routine opt-out HCV testing and linkage-to-care model at five federally qualified health centers in Philadelphia, Pennsylvania, from October 1, 2012, to June 30, 2014. The model included medical assistant-initiated testing, reflex laboratory-based HCV tests, and electronic health record modifications to prompt, track, and facilitate reimbursement for tests performed on uninsured patients.
resultsDuring the study period, 4,207 unique patients received HCV antibody (anti-HCV) testing, of whom 488 (11.6%) tested anti-HCV positive. Of those testing positive, 433 (88.7%) received a confirmatory HCV RNA test; of these 433 recipients, 313 (72.3%) were diagnosed with current infection (overall prevalence = 7.4%), of which 243 (77.6%) received their HCV RNA-positive results, 184 (58.8%) were referred to an HCV care provider, and 121 (38.7%) were linked to care. The highest rates of current infection were among non-Hispanic white patients (18.1%, 90/496); patients from the Public Health Management Corporation Care Clinic, which treats HIV and HCV patients on-site (14.3%, 200/1,394); and patients aged 50-69 years (10.7%, 189/1,767).
conclusionOur model successfully integrated HCV testing and linkage to care into routine primary care. This study also identified potential successes and barriers that may be experienced by other primary care health centers that are integrating HCV testing.
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Registered trials
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