Adding HIV screening to regular primary care

2021 ◽  
Author(s):  
Angela Kirabo Russell
Keyword(s):  
Primary Care ◽  
Hiv Screening

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.

130. Pediatric Primary Care Provider HIV Screening Knowledge, Attitudes, and Practices

2013 ◽  
Vol 52 (2) ◽  
pp. S83-S84 ◽  
Author(s):  
Monika Goyal ◽  
Nadia Dowshen ◽  
Katie Hayes ◽  
Avani Mehta ◽  
Susan Lee ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Provider ◽  
Primary Care Provider ◽  
Pediatric Primary Care ◽  
Hiv Screening ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

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 HIV Screening and the Affordable Care Act

2016 ◽  
Vol 11 (2) ◽  
pp. 233-239 ◽  
Author(s):  
Greg Carter ◽  
Christopher Owens ◽  
Hsien-Chang Lin
Keyword(s):  
Primary Care ◽  
Affordable Care Act ◽  
Health Care Disparities ◽  
Primary Care Providers ◽  
Future Research ◽  
Hiv Screening ◽  
Health Providers ◽  
Care Providers ◽  
Increased Risk ◽  
The Affordable Care Act

Men continue to bear disproportionate accounts of HIV diagnoses. The Patient Protection and Affordable Care act aims to address health care disparities by recommending preventative services, including HIV screening, expanding community health centers, and increasing the healthcare workforce. This study examined the decision making of physician and primary care health providers to provide HIV screenings. A quasi-experimental design was used to estimate the effects of the Affordable Care Act on provider-initiated HIV screening. The National Ambulatory Medical Care Survey was used to examine HIV screening characteristic from two time periods: 2009 and 2012. Logistic regression indicated that patient and provider characteristics were associated with likelihood of being prescribed HIV screening. Non-Hispanic Black men were more likely to be prescribed HIV screening compared to non-Hispanic White men (odds ratio [OR] = 12.33, 95% confidence interval [CI; 4.42, 34.46]). Men who see primary care providers were more likely to be prescribed HIV screening compared to men not seeing a primary care provider (OR = 5.94, 95% CI [2.15, 16.39]). Men between the ages of 19 and 22 were more likely to be prescribed HIV screening compared to men between the ages of 15 and 18 (OR = 6.59, 95% CI [2.16, 20.14]). Men between the ages of 23 and 25 were more likely to be prescribed HIV screening compared with men between the ages of 15 and 18 (OR = 10.13, 95% CI [3.34, 30.69]). Health education programs identifying men at increased risk for contracting HIV may account for the increased screening rates in certain populations. Future research should examine age disparities surrounding adolescent and young men HIV screening.

scholarly journals HIV Screening of Patients Presenting for Routine Medical Care in a Primary Care Setting

2012 ◽  
Vol 4 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Mamle Anim ◽  
Ronald J. Markert ◽  
Nkeiruka E. Okoye ◽  
Wissam Sabbagh
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Hiv Screening ◽  
Routine Medical Care
Sign in / Sign up

Export Citation Format

Share Document