Needs Assessment: Management of Chronic Hepatitis B

Please answer the following questions – all responses will be treated as confidential. The survey should take no longer than 10 minutes to complete.


Optional information:

Section 1

1.6    On average, how many patients with a confirmed diagnosis of
          chronic hepatitis B do you see each month?

Section 2

(If you would consider initiating therapy yourself, please go straight to Section 3.)


2.1    Please rate your comfort with the following statements, and your interest in participating in CME programmes on these topics.

 
Not comfortable
Minimal
Comfortable
Very comfortable
Would you be interested in participating
in CME programmes
I know which patients to screen for chronic hepatitis B and the appropriate diagnostic tests to use Yes No
I can describe the natural history of chronic hepatitis B, and the factors associated with the risk of progression Yes No
I am able to monitor patients with a diagnosis of chronic hepatitis B who are not receiving antiviral therapy Yes No
I know when to refer patients to a hepatology specialist Yes No
I know the rationale for treatment in patients with chronic hepatitis B, and the opportunities to commence therapy Yes No
I can identify patients with a suboptimal response to treatment Yes No
I can identify patients with resistance to oral antiviral therapy Yes No
I can identify markers that suggest cirrhosis or hepatocellular carcinoma in patients with viral hepatitis Yes No
I can advise female patients who are, or wish to become, pregnant about the options for management of their chronic hepatitis B Yes No

 

Please go to Section 4.

 

Section 3

(If you predominately identify and refer patients with chronic hepatitis B, please answer Sections 2 and 4 only.)


3.1    Please provide your assessment of NON-SPECIALISTS' knowledge of the following:

 
Requires improvement
Some (gaps
in places)
Good (working knowledge of
key issues)
Excellent
At-risk populations for chronic hepatitis B infection
Appropriate testing to diagnose patients with chronic hepatitis B
Use of appropriate tests to monitor patients with chronic hepatitis B
Application of Canadian guidelines for the management of chronic hepatitis B
Appropriate referral of patients with chronic hepatitis B
Indications for the initiation of antiviral therapy
Selection of antiviral therapy for the management of chronic hepatitis B
Definitions of treatment response and non-response
Identification and management of treatment resistance to oral antiviral agents
Markers for advanced liver disease (cirrhosis and hepatocellular carcinoma (HCC))
in patients with chronic viral hepatitis
Surveillance guidelines for HCC

 

3.2    Please rate YOUR comfort with the following and your interest in participating in CME programmes on these subjects.

 
Not comfortable
Minimal
Comfortable
Very comfortable
Would you be interested in participating
in CME programmes
The criteria for starting antiviral therapy in patients with chronic hepatitis B Yes No
Goals of treatment for patients with chronic hepatitis B Yes No
Choosing between antiviral agents for chronic hepatitis B Yes No
Evaluating response to treatment Yes No
Evaluation and management of patients with resistance to oral antiviral therapy Yes No
Optimising the long-term management of patients with chronic hepatitis B Yes No
Management of chronic hepatitis B in pregnancy Yes No
New tools to assess liver injury (e.g., Fibroscan) Yes No
Management of the patient with compensated cirrhosis Yes No
Screening for hepatocellular carcinoma (HCC) Yes No

 

Section Four


Thank you for your assistance.