To the Editor—We appreciate Dr MacDonald and colleagues’ [1] interest in our study [2] describing the limited coverage of hepatitis C virus (HCV) testing in the noninstitutionalized US civilian population, even among Baby Boomers, for whom there is a 1-time HCV testing recommendation. Our study was conducted using data from the 2013–2017 National Health Interview Survey. Using the same data source, the authors make an important point that, even in 2017, there were missed opportunities for HCV testing [1]. In particular, the authors highlight that 78% of untested Baby Boomers interacted with a primary care provider in the past year. We agree with MacDonald et al [1] that interventions to improve the uptake of HCV testing recommendations should be implemented in primary care settings (eg, provider and patient education programs, in combination with targeted electronic medical record best practice alerts for providers [3]).

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回复麦克唐纳等人

致编辑-我们感谢MacDonald博士及其同事[1]对我们的研究[2]的关注，该研究描述了非机构化的美国平民，甚至婴儿潮一代中丙型肝炎病毒（HCV）测试的覆盖范围有限。推荐1次HCV测试。我们的研究是使用2013-2017年国家健康访问调查中的数据进行的。使用相同的数据源，作者提出了一个重要的观点，即使在2017年，HCV测试仍然错失了机会[1]。特别是，作者强调指出，在过去的一年中，未经测试的婴儿潮一代中有78％与初级保健提供者进行了互动。我们同意MacDonald等[1]的观点，即应在初级保健机构（例如，提供者和患者教育计划，