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A recent RCT at general medical and diabetes clinics showed that automated fibrosis score calculation followed by reminder messages in the electronic health system could increase the referral of individuals with increased fibrosis scores to hepatologists for specific fibrosis testing (from 3% to 33%) [129]

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Geographically, providers cluster in a few zones: La Jolla and UTC near the university, downtown and Hillcrest, the North County coast (Encinitas, Carlsbad, Oceanside), and South Bay (Chula Vista, National City)

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