School of Public Health, Department of Epidemiology and Biostatistics, University of North Texas Health Science Center, Fort Worth, USA.
Center for Epidemiology and Healthcare Delivery Research, JPS Health Network, Fort Worth, USA.
Arch Gynecol Obstet. 2024 Jun;309(6):2491-2498. doi: 10.1007/s00404-023-07146-x. Epub 2023 Jul 16.
The purpose of this study was to assess the association between select determinants and HCV screening guideline adherence among physicians who provide prenatal care.
What factors may act as determinants of guideline adherence to HCV screening among physicians who provide prenatal care?
We surveyed a national sample of physicians who provided prenatal care in 2021. The survey included questions from the Clinician Guideline Determinant (CGD) questionnaire, demographic characteristics, and medical practice characteristics. We estimated odds ratios and 95% confidence intervals (CIs) using semi-Bayesian logistic regression for the association between determinants and guideline adherence.
Participants included 224 physicians in the United States who reported providing prenatal care. Most physicians practiced in private practice (65%) and the majority were members of the American College of Obstetricians and Gynecologists (ACOG; 91%). Less than half (43%; 95% CI: 36%-49%) of physicians reported regular use of the HCV screening guideline. Physicians who reported general knowledge about HCV (OR = 9.0, 95% CI 3.1-30) or endorsed agreement with ease of implementation (OR = 8.0, 95% CI 2.7-25) had higher odds of adherence to the HCV screening guideline.
Our study suggests that less than half of practicing prenatal care physicians adhere to HCV screening guidelines for pregnant patients. Our results may be useful as a preliminary screening of select determinants of guideline use for further investigation.
本研究旨在评估在提供产前护理的医生中，选择的决定因素与 HCV 筛查指南依从性之间的关联。
哪些因素可能是影响为产前护理提供服务的医生遵循 HCV 筛查指南的决定因素？
我们调查了 2021 年提供产前护理的全国医生样本。该调查包括来自临床医生指南决定因素（CGD）问卷、人口统计学特征和医疗实践特征的问题。我们使用半贝叶斯逻辑回归估计了决定因素与指南依从性之间的关联的优势比和 95%置信区间（CI）。
参与者包括在美国报告提供产前护理的 224 名医生。大多数医生在私人诊所工作（65%），大多数是美国妇产科医师学会（ACOG；91%）的成员。不到一半（43%；95%CI：36%-49%）的医生报告经常使用 HCV 筛查指南。报告对 HCV 一般知识（OR=9.0，95%CI 3.1-30）或赞同实施容易性（OR=8.0，95%CI 2.7-25）的医生，其遵循 HCV 筛查指南的可能性更高。
我们的研究表明，不到一半的执业产前护理医生遵守针对孕妇的 HCV 筛查指南。我们的结果可作为进一步调查的指南使用的选择决定因素的初步筛选有用。
