Lopez Bray Carlos, Taylor Richard, Tamez Naomi, Durkalski Wesley, Litaker John R
Office of Population Health, Sendero Health Plans, Inc., Austin, TX 78741, USA.
Undergraduate Public Health Program, The University of Texas at Austin, Austin, TX 78712, USA.
Healthcare (Basel). 2023 Jan 19;11(3):302. doi: 10.3390/healthcare11030302.
In 2019, 2020, and 2021, Sendero Health Plans, an ACA health insurance company, implemented Hepatitis C Virus (HCV) health education and outreach screening campaigns. Chi-square goodness-of-fit and tests of independence were performed to assess and compare the uptake of HCV screening among baby boomers in 2019, 2020, and 2021. In 2019, 2020, and 2021, 17.9% (308/1,718), 10.9% (93/852), and 8.5% (37/435) of eligible members were screened, respectively. Individuals were more likely to be screened for HCV in 2019 than in 2020 and 2021 ( < 0.0001). In 2019, 2020, and 2021, 39.9%, 26.9%, and 48.6% of annual screenings occurred during the health campaign months, respectively. Annual HCV screening rates were lower during the COVID-19 pandemic period than in the pre-pandemic cohort. However, screening rates during the months of outreach and education contributed to nearly 50% of annual screenings in the pandemic year 2021, thus representing a positive impact on preventive screening uptake despite the pandemic. Missed screening opportunities affect HCV transmission, diagnosis, and treatment. Yet, health education and outreach continue to work, even during a pandemic.
2019年、2020年和2021年，《平价医疗法案》（ACA）旗下的森德罗健康保险公司开展了丙型肝炎病毒（HCV）健康教育及外展筛查活动。采用卡方拟合优度检验和独立性检验来评估和比较2019年、2020年和2021年婴儿潮一代中HCV筛查的接受情况。2019年、2020年和2021年，分别有17.9%（308/1718）、10.9%（93/852）和8.5%（37/435）的符合条件成员接受了筛查。2019年接受HCV筛查的个体比2020年和2021年更有可能接受筛查（<0.0001）。2019年、2020年和2021年，分别有39.9%、26.9%和48.6%的年度筛查在健康活动月期间进行。COVID-19大流行期间的年度HCV筛查率低于大流行前队列。然而，2021年大流行期间外展和教育月的筛查率占年度筛查的近50%，因此尽管处于大流行中，但对预防性筛查的接受产生了积极影响。错过筛查机会会影响HCV的传播、诊断和治疗。然而，即使在大流行期间，健康教育和外展活动仍在发挥作用。
