Chronic Hepatitis B: A Clinical Audit of GP Management

Chronic Hepatitis B: A Clinical Audit of GP Management

Background Hepatitis B virus (HBV) infection represents a growing health burden in Australia. This clinical audit aimed to enhance general practitioner awareness of the recommended management for patients with chronic hepatitis B. Objective: This article describes a clinical two-phase audit of 119 A...

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Bibliographic Details
Published in:Australian family physician Vol. 40; no. 7; pp. 533 - 538
Main Authors: Dev, Anouk, Nguyen, James Huong, Munafo, Lili, Hardie, Eve, Iacono, Linda
Format: Journal Article
Language:English
Published: Australia Copyright Agency Limited (Distributor) 01-07-2011
Subjects:
Adolescent
Adult
Audits
Australia
Cancer
Diagnosis
Directive Counseling
Family medical history
Female
General Practice - statistics & numerical data
Genetic testing
Guideline Adherence
Hepatitis B
Hepatitis B virus
Hepatitis B, Chronic - diagnosis
Hepatitis B, Chronic - therapy
Humans
Infections
Liver
Liver cancer
Liver diseases
Male
Medical Audit
Medical referrals
Middle Aged
Patients
Physicians (General practice)
Practice Guidelines as Topic
Practice Patterns, Physicians' - statistics & numerical data
Retrospective Studies
Young Adult
Australia
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Summary:Background Hepatitis B virus (HBV) infection represents a growing health burden in Australia. This clinical audit aimed to enhance general practitioner awareness of the recommended management for patients with chronic hepatitis B. Objective: This article describes a clinical two-phase audit of 119 Australian GPs who contributed records retrospectively of patients with chronic hepatitis B. Discussion: Patient records were examined for compliance with prevailing guidelines and GPs received education on guidelines. At completion of the audit 29% of patients were monitored at recommended intervals and 47% were managed according to the current guidelines. Recording of hepatitis B virus DNA results increased from 24% in phase 1 to 63% in phase 2. General practitioners reported increased knowledge of appropriate management and referral. Twenty-five percent of patients audited in both phases had been referred to a specialist. Participating GPs improved their management of patients with chronic hepatitis B. However, there remains considerable scope for enhancing GP understanding of hepatitis B virus and applying current guidelines to clinical practice.
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Australian Family Physician, Vol. 40, No. 7, Jul 2011: 533-538
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0300-8495
2208-7958