Barriers and Facilitators to Routine HIV Testing in VA Primary Care

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

“…18 Interventions that make HIV testing as streamlined as possible within the flow of clinic work are likely to improve adoption. 29 In both community health centers and VA primary care clinics, taking the testing out of the physician's purview was successful in increasing HIV testing rates, but requires other staffing and adjustments to clinic flow. 10,30 In the VA, clinical reminders integrated into the electronic medical record have been successful cues to busy physicians.…”

Routine HIV Testing in Primary Care Clinics: A Study Evaluating Patient and Provider Acceptance

“…However, the process of obtaining consent and discussing test results provided an extra burden for HCWs that differed from other rapid tests (e.g., blood glucose, dipstick urine tests). In a survey of patients and HCWs on routine HIV testing in primary care, both groups agreed that the need for informed consent and pretest counseling were barriers to implementation of routine testing (Bokhour, Solomon, Knapp, Asch, & Gifford, 2009). Michigan, however, remains one of the states that require pretest counseling and informed consent (Ehrenkranz et al, 2009).…”

HIV Screening in the Health Care Setting: Status, Barriers, and Potential Solutions

“…51 This dichotomy between prevention and care remains a significant hurdle for health care workers who do not have the infrastructure needed to follow up on HIV test results and ensure that all HIV-positive patients are referred for HIV care. 47,52 The current CDC recommendation for HIV screening in the health care setting does away with many of the facility-and physician-level systemic barriers, such as the need for counseling and separate written informed consent. However, it does not remove all the barriers, perceived or otherwise, associated with the mechanics of ordering tests, as well as interpreting and reporting test results, or informing patients of their test results.…”