Using the nudge method to promote referrals of HBs antigen-/HCV antibody-positive patients from non-hepatology specialty physicians
In our hospital, the Infection Control Team (ICT) evaluates patients who test positive for the hepatitis virus during preoperative and preadmission tests (the hepatitis virus round), and adds referral requests to a hepatologist to the electronic medical records of these patients. A review after 1 ye...
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Veröffentlicht in: | Kanzo 2022/05/01, Vol.63(5), pp.224-231 |
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creator | Fujioka, Hikari Kikuchi, Kentaro Matsumoto, Kotaro Ohyatsu, Sho Nariyama, Tomoyuki Kohyama, Tadashi Yoshida, Minoru Moritoki, Yuki Hara, Masumi |
description | In our hospital, the Infection Control Team (ICT) evaluates patients who test positive for the hepatitis virus during preoperative and preadmission tests (the hepatitis virus round), and adds referral requests to a hepatologist to the electronic medical records of these patients. A review after 1 year of this practice confirmed that number of referrals provided by non-hepatology specialty physicians was low, especially among short-stay inpatients. Therefore, we requested referrals using the nudge method in year 2 of the initial infection control training session. This increased the referral consultation rate for short-term hospitalization from 14.3% (3/21) before ICT referral to 31.6% (6/19) in the 1st year and 66.7% (8/12) in the 2nd year (vs. before the start, p |
doi_str_mv | 10.2957/kanzo.63.224 |
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A review after 1 year of this practice confirmed that number of referrals provided by non-hepatology specialty physicians was low, especially among short-stay inpatients. Therefore, we requested referrals using the nudge method in year 2 of the initial infection control training session. This increased the referral consultation rate for short-term hospitalization from 14.3% (3/21) before ICT referral to 31.6% (6/19) in the 1st year and 66.7% (8/12) in the 2nd year (vs. before the start, p<0.01). 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A review after 1 year of this practice confirmed that number of referrals provided by non-hepatology specialty physicians was low, especially among short-stay inpatients. Therefore, we requested referrals using the nudge method in year 2 of the initial infection control training session. This increased the referral consultation rate for short-term hospitalization from 14.3% (3/21) before ICT referral to 31.6% (6/19) in the 1st year and 66.7% (8/12) in the 2nd year (vs. before the start, p<0.01). Thus, the nudge method is effective in promoting voluntary behavior change and can increase rates of referred consultations.</description><subject>hepatitis virus</subject><subject>non-specialist</subject><subject>nudge</subject><subject>referrals</subject><subject>screening</subject><issn>0451-4203</issn><issn>1881-3593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpFkMtOwzAQRS0EElXpjg_wB-DWjzxXCCogSJXYULaR40wSQ2pHtkEKW36c0FZlNTN3zlxpLkLXjC55HqerD2m-7TIRS86jMzRjWcaIiHNxjmY0ihmJOBWXaOG9rijlSUrznM_Qz9Zr0-LQATafdQt4B6GzNQ4WD87ubADsoAHnZO-xbXBx77E0QbdgyKpYv-2HytYjGazXQX8BHmTQYILHzWSAjTWkg0mzvW1H7AdQWvZhxEM3ej31xl-hi2ayh8WxztH28eF1XZDNy9Pz-m5DFKcsIjHQJONpzauIs4rXCqSkdRRngmYVp2kjFBeQ1CytaCYFq5TKARKapzFXIldijm4OvspZ76e3ysHpnXRjyWj5l2G5z7BMRDllOOG3B_zdB9nCCZYuaNXDPxwfL04b1UlXghG_PKR_xQ</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Fujioka, Hikari</creator><creator>Kikuchi, Kentaro</creator><creator>Matsumoto, Kotaro</creator><creator>Ohyatsu, Sho</creator><creator>Nariyama, Tomoyuki</creator><creator>Kohyama, Tadashi</creator><creator>Yoshida, Minoru</creator><creator>Moritoki, Yuki</creator><creator>Hara, Masumi</creator><general>The Japan Society of Hepatology</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20220501</creationdate><title>Using the nudge method to promote referrals of HBs antigen-/HCV antibody-positive patients from non-hepatology specialty physicians</title><author>Fujioka, Hikari ; Kikuchi, Kentaro ; Matsumoto, Kotaro ; Ohyatsu, Sho ; Nariyama, Tomoyuki ; Kohyama, Tadashi ; Yoshida, Minoru ; Moritoki, Yuki ; Hara, Masumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2014-5e06827d2b421b2dceaa0d458308b207f3c23e6d17b08a31bcc9ee609752c39c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>2022</creationdate><topic>hepatitis virus</topic><topic>non-specialist</topic><topic>nudge</topic><topic>referrals</topic><topic>screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujioka, Hikari</creatorcontrib><creatorcontrib>Kikuchi, Kentaro</creatorcontrib><creatorcontrib>Matsumoto, Kotaro</creatorcontrib><creatorcontrib>Ohyatsu, Sho</creatorcontrib><creatorcontrib>Nariyama, Tomoyuki</creatorcontrib><creatorcontrib>Kohyama, Tadashi</creatorcontrib><creatorcontrib>Yoshida, Minoru</creatorcontrib><creatorcontrib>Moritoki, Yuki</creatorcontrib><creatorcontrib>Hara, Masumi</creatorcontrib><collection>CrossRef</collection><jtitle>Kanzo</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujioka, Hikari</au><au>Kikuchi, Kentaro</au><au>Matsumoto, Kotaro</au><au>Ohyatsu, Sho</au><au>Nariyama, Tomoyuki</au><au>Kohyama, Tadashi</au><au>Yoshida, Minoru</au><au>Moritoki, Yuki</au><au>Hara, Masumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using the nudge method to promote referrals of HBs antigen-/HCV antibody-positive patients from non-hepatology specialty physicians</atitle><jtitle>Kanzo</jtitle><addtitle>Kanzo</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>63</volume><issue>5</issue><spage>224</spage><epage>231</epage><pages>224-231</pages><issn>0451-4203</issn><eissn>1881-3593</eissn><abstract>In our hospital, the Infection Control Team (ICT) evaluates patients who test positive for the hepatitis virus during preoperative and preadmission tests (the hepatitis virus round), and adds referral requests to a hepatologist to the electronic medical records of these patients. A review after 1 year of this practice confirmed that number of referrals provided by non-hepatology specialty physicians was low, especially among short-stay inpatients. Therefore, we requested referrals using the nudge method in year 2 of the initial infection control training session. This increased the referral consultation rate for short-term hospitalization from 14.3% (3/21) before ICT referral to 31.6% (6/19) in the 1st year and 66.7% (8/12) in the 2nd year (vs. before the start, p<0.01). Thus, the nudge method is effective in promoting voluntary behavior change and can increase rates of referred consultations.</abstract><pub>The Japan Society of Hepatology</pub><doi>10.2957/kanzo.63.224</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | J-STAGE Free; EZB Electronic Journals Library |
subjects | hepatitis virus non-specialist nudge referrals screening |
title | Using the nudge method to promote referrals of HBs antigen-/HCV antibody-positive patients from non-hepatology specialty physicians |
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