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 <title>Veterans&apos; Health Care: Standards and Accountability Could Improve Hepatitis C Screening and Testing Performance</title>
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<abstract>Three years ago, the Department of Veterans Affairs (VA)
characterized hepatitis C as a serious national health problem	 
that needs early detection to reduce transmission risks, ensure  
timely treatment, and prevent progression of liver disease. In a 
1988 information letter the Under Secretary for Health outlined  
the process clinicians should use when (1) screening veterans for
known risk factors for exposure to hepatitis C and (2) ordering  
tests to detect antibodies and diagnose hepatitis C infection as 
part of a plan to evaluate and assess risk factors for VA	 
patients. As part of an ongoing assessment of VA&apos;s testing and	 
screening for hepatitis C. This testimony discusses VA&apos;s progress
in screening and testing veterans for hepatitis C during fiscal  
years 1999 and 2000. GAO found that VA (1) missed opportunities  
to screen as many as three million veterans when they visited	 
medical facilities during fiscal years 1999 and 2000, potentially
leaving as many as 200,000 veterans unaware that they have	 
hepatitis C infections, (2) of those screened, an unknown number 
likely remain undiagnosed because of flawed procedures, (3)	 
although the pace of screening and testing appears to be	 
improving, many currently undiagnosed veterans may not be	 
identified expeditiously unless VA (a) establishes early	 
detection of hepatitis C as a standard for care and (b) holds	 
facility managers accountable for timely screening and testing of
veterans who visit VA medical facilities.</abstract>
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<note>Testimony</note>
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 <topic>Health care programs</topic>
 <topic>Infectious diseases</topic>
 <topic>Veterans</topic>
 <topic>Accountability</topic>
 <topic>Health care services</topic>
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