scholarly journals General Internists' Beliefs, Behaviors, and Perceived Barriers to Routine HIV Screening in Primary Care

2011 ◽  
Vol 23 (3_supplement) ◽  
pp. 70-83 ◽  
Author(s):  
P. Todd Korthuis ◽  
Gail V. Berkenblit ◽  
Lynn E. Sullivan ◽  
Joseph Cofrancesco ◽  
Robert L. Cook ◽  
...  
Keyword(s):  
Primary Care ◽  
Perceived Barriers ◽  
Hiv Screening ◽  
General Internists ◽  
Routine Hiv Screening

scholarly journals Integrating Routine HIV Screening Into a Primary Care Setting in Rural North Carolina

2014 ◽  
Vol 25 (1) ◽  
pp. 70-82 ◽  
Author(s):  
James L. Harmon ◽  
Michelle Collins-Ogle ◽  
John A. Bartlett ◽  
Julie Thompson ◽  
Julie Barroso
Keyword(s):  
Primary Care ◽  
North Carolina ◽  
Care Setting ◽  
Primary Care Setting ◽  
Hiv Screening ◽  
Routine Hiv Screening

scholarly journals Evaluation of the Impact of Routine HIV Screening in Primary Care

2016 ◽  
Vol 16 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Ashley Simone Tillison ◽  
Ann Keltner Avery
Keyword(s):  
Primary Care ◽  
The United States ◽  
Hiv Screening ◽  
Publicly Funded ◽  
Office Visits ◽  
Course Of Disease ◽  
Routine Testing ◽  
Routine Hiv Screening ◽  
The Impact ◽  
Number Of Individuals

Since 2006, numerous testing initiatives have been launched across the United States to increase the number of individuals who know their HIV status. These initiatives are often venue based and reported in a variety of settings. However, the effectiveness of these initiatives has not been evaluated to determine if patients were identified earlier in the course of disease or would not have been otherwise tested. In 2010, a publicly funded teaching hospital implemented an electronic medical record prompt to improve the rate of routine HIV screening and diagnosis, focusing on primary care office visits. Both sex and CD4 count were found to be significantly related to being newly diagnosed after the intervention. Routine testing in primary care is an effective strategy to diagnose patients earlier in disease progression, particularly men who might otherwise not be tested and thus would remain undiagnosed until developing symptoms from advanced disease.

Teaching Normal and Abnormal Behavior to Primary Care Physicians

1994 ◽  
Vol 24 (2) ◽  
pp. 115-120 ◽  
Author(s):  
Uriel Halbreich
Keyword(s):  
Primary Care ◽  
Differential Diagnosis ◽  
Human Behavior ◽  
Primary Care Physicians ◽  
Family Physicians ◽  
Abnormal Behavior ◽  
General Internists ◽  
Education Committee ◽  
Personal Skills

Objective: This article delineates the framework for a curriculum on psychiatry, normal and abnormal human behavior for primary care physicians (PCPs). Methods: Curricula have been surveyed. Members of the Education Committee of the Association of Medicine and Psychiatry, as well as Family Physicians and General Internists involved in education have been consulted. Their recommendations are integrated. Results and Conclusions: The curriculum should be developed according to the needs of PCPs and from their perspective. Patient and problem-oriented, its content can be divided into: a) personal skills that should be developed; and b) knowledge of symptoms, their differential diagnosis (DDX) and management within the PCP's, facilities and abilities.

Routine HIV Screening in Cancer Patients in the Emergency Department

2018 ◽  
Vol 17 (2) ◽  
pp. 91-95
Author(s):  
Terry W Rice ◽  
◽  
Patricia A. Brock ◽  
Carmen Gonzalez ◽  
Kelly W Merriman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Cancer Patients ◽  
Linkage To Care ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Hiv Screening ◽  
Immunodeficiency Virus ◽  
Routine Hiv Screening ◽  
Incident Cases

Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.

scholarly journals Impact of a primary care national policy on HIV screening in France: a longitudinal analysis between 2006 and 2013

2016 ◽  
Vol 66 (653) ◽  
pp. e920-e929 ◽  
Author(s):  
Jonathan Sicsic ◽  
Olivier Saint-Lary ◽  
Elisabeth Rouveix ◽  
Nathalie Pelletier-Fleury
Keyword(s):  
Primary Care ◽  
Longitudinal Analysis ◽  
National Policy ◽  
Hiv Screening

A randomized trial of computer-based reminders and audit and feedback to improve HIV screening in a primary care setting

2009 ◽  
Vol 20 (8) ◽  
pp. 527-533 ◽  
Author(s):  
V Sundaram ◽  
L C Lazzeroni ◽  
L R Douglass ◽  
G D Sanders ◽  
P Tempio ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Health Care ◽  
Hiv Testing ◽  
Health Care System ◽  
Control Group ◽  
Hiv Screening ◽  
Risk Behaviours ◽  
Primary Care Clinics ◽  
Computer Based

Despite recommendations for voluntary HIV screening, few medical centres have implemented screening programmes. The objective of the study was to determine whether an intervention with computer-based reminders and feedback would increase screening for HIV in a Department of Veterans Affairs (VA) health-care system. The design of the study was a randomized controlled trial at five primary care clinics at the VA Palo Alto Health Care System. All primary care providers were eligible to participate in the study. The study intervention was computer-based reminders to either assess HIV risk behaviours or to offer HIV testing; feedback on adherence to reminders was provided. The main outcome measure was the difference in HIV testing rates between intervention and control group providers. The control group providers tested 1.0% ( n = 67) and 1.4% ( n = 106) of patients in the preintervention and intervention period, respectively; intervention providers tested 1.8% ( n = 98) and 1.9% ( n = 114), respectively ( P = 0.75). In our random sample of 753 untested patients, 204 (27%) had documented risk behaviours. Providers were more likely to adhere to reminders to test rather than with reminders to perform risk assessment (11% versus 5%, P < 0.01). Sixty-one percent of providers felt that lack of time prevented risk assessment. In conclusion, in primary care clinics in our setting, HIV testing rates were low. Providers were unaware of the high rates of risky behaviour in their patient population and perceived important barriers to testing. Low-intensity clinical reminders and feedback did not increase rates of screening.

scholarly journals 845. Impact of the COVID-19 Pandemic on Routine HIV Screening in an Emergency Department

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S513-S513
Author(s):  
Elizabeth A Aguilera ◽  
Gilhen Rodriguez ◽  
Gabriela P Del Bianco ◽  
Gloria Heresi ◽  
James Murphy ◽  
...  
Keyword(s):  
Emergency Department ◽  
Screening Program ◽  
Medical Center ◽  
Hiv Infections ◽  
Hiv Screening ◽  
Opt Out ◽  
Number Of Patients ◽  
Confirmatory Tests ◽  
Routine Hiv Screening ◽  
The Impact

Abstract Background The Emergency Department (ED) at Memorial Hermann Hospital (MHH) - Texas Medical Center (TMC), Houston, Texas has a long established screening program targeted at detection of HIV infections. The impact of the COVID-19 pandemic on this screening program is unknown. Methods The Routine HIV screening program includes opt-out testing of all adults 18 years and older with Glasgow score &gt; 9. HIV 4th generation Ag/Ab screening, with reflex to Gennius confirmatory tests are used. Pre-pandemic (March 2019 to February 2020) to Pandemic period (March 2020 to February 2021) intervals were compared. Results 72,929 patients visited MHH_ED during the pre-pandemic period and 57,128 in the pandemic period, a 22% decline. The number of patients tested for HIV pre-pandemic was 9433 and 6718 pandemic, a 29% decline. When the pandemic year was parsed into first and last 6 months interval and compared to similar intervals in the year pre pandemic, 39% followed by 16% declines in HIV testing were found. In total, 354 patients were HIV positives, 209, (59%) in the pre-pandemic and 145 (41%) in the pandemic period.The reduction in new HIV infections found was directly proportional to the decline in patients visiting the MHH-ED where the percent of patients HIV positive was constant across intervals (2.21% vs 2.26%). Demographic and outcome characteristics were constant across the compared intervals. Conclusion The COVID -19 pandemic reduced detection of new HIV infections by screening in direct proportion to the reduction in MHH-ED patient visits. The impact of COVID-19 pandemic decreased with duration of the pandemic. Disclosures All Authors: No reported disclosures

Sign in / Sign up

Export Citation Format

Share Document