title: [Organized hepatitis C screening. Results and cost of a one-year campaign in a pilot area].
abstract: OBJECTIVE
  The management and monitoring process and the efficiency of targeted hepatitis C screening in the French health care system are not known. We assessed the main results and the cost of the program established in the Doubs area, where organized screening was integrated into the activities of voluntary physicians.
  
  
  METHODS
  All biological laboratories in the area, 23% of the private general practitioners, 42% of occupational physicians, one prison health service and one health centre agreed to participate. Screening was targeted to the following risk factors: transfusion before 1991, intravenous drug use, tattooing and household contact. The prescription form specified the indication and allowed free testing.
  
  
  RESULTS
  Among the volunteers, 58% of the general practitioners, 63% of the occupational physicians and 50% of the laboratories prescribed at least one screening test. In one year, 948 serologies were prescribed, mainly for tattooing (45%) or transfusion (28%). Only 83% of the tests were performed, with patient observance depending on age, indication and the place of prescription. Thirty-one patients were positive (4%). The cost of the campaign was 10 994 F per screened case.
  
  
  CONCLUSIONS
  Mobilizing health professionals for organized screening is difficult which affects the efficiency of strategies.
authors.affiliation: Département de Santé Publique, Faculté de Médecine et de Pharmacie, Besançon.
authors.forename: E
authors.initials: E
authors.lastname: Monnet
authors.forename: P
authors.initials: P
authors.lastname: Mercet
authors.forename: M C
authors.initials: MC
authors.lastname: Woronoff-Lemsi
authors.forename: S
authors.initials: S
authors.lastname: Bresson-Hadni
authors.forename: J
authors.initials: J
authors.lastname: Pruniaux
authors.forename: P
authors.initials: P
authors.lastname: Cottray
authors.forename: C
authors.initials: C
authors.lastname: Bouiller
authors.forename: H
authors.initials: H
authors.lastname: Allemand
authors.forename: J P
authors.initials: JP
authors.lastname: Miguet
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D005194:Family Practice; D005260:Female; D005602:France; D006526:Hepatitis C / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000191:economics*; D009786:Occupational Health Services; D010865:Pilot Projects