scholarly journals Payer Status, Race/Ethnicity, and Acceptance of Free Routine Opt-Out Rapid HIV Screening Among Emergency Department Patients

2012 ◽  
Vol 102 (5) ◽  
pp. 877-883 ◽  
Author(s):  
Jeffrey Sankoff ◽  
Emily Hopkins ◽  
Comilla Sasson ◽  
Alia Al-Tayyib ◽  
Brooke Bender ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Screening ◽  
Opt Out ◽  
Race Ethnicity ◽  
Emergency Department Patients

scholarly journals A Comparison of Patient Satisfaction with Emergency Department Opt-In and Opt-Out Rapid HIV Screening

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Douglas A. E. White ◽  
Alicia N. Scribner ◽  
Maria E. Martin ◽  
Stacy Tsai
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Primary Outcome ◽  
Emergency Department Patient ◽  
Hiv Screening ◽  
Convenience Sample ◽  
Study Objective ◽  
Opt Out ◽  
Race Ethnicity ◽  
Test Result

Study objective. To compare patient satisfaction with emergency department (ED) opt-in and opt-out HIV screening.Methods. We conducted a survey in an urban ED that provided rapid HIV screening using opt-in (February 1, 2007–July 31, 2007) and opt-out (August 1, 2007–January 31, 2008) approaches. We surveyed a convenience sample of patients that completed screening in each phase. The primary outcome was patient satisfaction with HIV screening.Results. There were 207 and 188 completed surveys during the opt-in and opt-out phases, respectively. The majority of patients were satisfied with both opt-in screening (95%, 95% confidence interval [CI] = 92–98) and opt-out screening (94%, 95% CI = 89–97). Satisfaction ratings were similar between opt-in and opt-out phases even after adjusting for age, gender, race/ethnicity, and test result (adjusted odds ratio 1.3, 95% CI = 0.5–3.1).Conclusions. Emergency department patient satisfaction with opt-in and opt-out HIV screening is similarly high.

scholarly journals Demographic Variations in HIV Testing History among Emergency Department Patients: Implications for Hiv Screening in US Emergency Departments

2009 ◽  
Vol 16 (2) ◽  
pp. 60-66 ◽  
Author(s):  
Roland C Merchant ◽  
Bethany M Catanzaro ◽  
George R Seage ◽  
Kenneth H Mayer ◽  
Melissa A Clark ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Emergency Departments ◽  
Hiv Screening ◽  
Emergency Department Patients

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 > 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

scholarly journals Programmatic Cost Evaluation of Nontargeted Opt-Out Rapid HIV Screening in the Emergency Department

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e81565 ◽  
Author(s):  
Jason S. Haukoos ◽  
Jonathan D. Campbell ◽  
Amy A. Conroy ◽  
Emily Hopkins ◽  
Meggan M. Bucossi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cost Evaluation ◽  
Hiv Screening ◽  
Opt Out
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