Evolution of an Electronic Health Record Based–Human Immunodeficiency Virus (HIV) Screening Program in an Urban Emergency Department for Diagnosing Acute and Chronic HIV Infection

Sha, Beverly E.; Kniuksta, Ruth; Exner, Kathleen; Kishen, Ekta; Shankaran, Shivanjali; Williams, Brett; Aziz, Mariam; Lai, Rebecca; Purim‐Shem‐Tov, Yanina A.

doi:10.1016/j.jemermed.2019.08.008

Cited by 9 publications

(10 citation statements)

References 8 publications

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“…Other factors for acceptability of using a test kit from a vending machine included: ease of use, time efficiency, and confidentiality. Chatbots/conversational agents Brixey et al, 2017 [ 56 ] Implementation paper on designing a chatbot using Facebook application programming interface within its Messenger platform. Developers used a variety of credible sources to create a body of questions and answers about HIV/AIDS which served as the foundation of knowledge for the chatbot.…”

Section: Resultsmentioning

confidence: 99%

“…To enhance HIV testing in the ED, Sha and colleagues screened ED EHRs using specified criteria and “Best Practice Advisory” and then auto ordered screening for complete blood count. Through this process, investigators were able to identify acute seroconverters, new chronically ill patients, and known infected patients (many who did not disclose their status) [ 56 ]. Investigators utilized machine learning algorithms that would identify patients at risk for HIV acquisition among adult members of a large healthcare organization [ 57 ] and national hospital registry [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

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Technology-Delivered Intervention Strategies to Bolster HIV Testing

et al. 2021

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Since the beginning of the HIV epidemic, there have been more than 75 million cases. Currently, there about 1.2 million living with HIV in the USA. Despite current testing recommendations, test rates continue to be suboptimal. Investigators have studied the use of digital technology to promote HIV testing, especially among high-risk populations. Purpose of Review This non-systematic review provides an overview of the scientific research between 2015 and 2020 focused on the use of digital technology to bolster HIV testing and suggests novel technologies for exploration. Recent Findings A total of 40 studies were included in the review that span a wide range of available technology. Studies effectively increased HIV testing among study participants. Generally, participants in the intervention/exposure groups had significantly higher rates of HIV test uptake compared to participants in the comparison groups at study follow-up. Summary For a variety of reasons (e.g., differences in ways the technologies were used and study design), no digital tool clearly performed better than others, but each have the capacity to increase outreach and self-testing. An exploration of the potential use of nascent technologies is also discussed, as well as the authors’ experiences using a number of these technologies in our research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Technology-Delivered Intervention Strategies to Bolster HIV Testing

et al. 2021

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“…Previous studies have explored HIV testing in EDs, but many are single center studies 13 , 27 - 29 (as compared to the multi-center approach used here) and/or they do not focus on populations known to be disproportionately impacted by HIV/AIDs (as compared to the specific focus on Latino immigrants and Blacks in this current study). 13 , 15 , 30 , 31 However, the findings from these studies corroborate the ongoing need for HIV testing in the ED. They also demonstrate a population of patients (including the populations studied here) who should be tested but have not been tested, particularly patients seeking care in the ED without any prior HIV testing and those engaging in HIV risk taking behaviors without recent HIV testing.…”

Section: Discussionmentioning

confidence: 99%

“…12 Many US EDs have recognized this need to test for HIV, followed this call for HIV testing, and instituted HIV testing through different types of programs. 13 - 18 …”

Section: Introductionmentioning

confidence: 99%

“…12 Many US EDs have recognized this need to test for HIV, followed this call for HIV testing, and instituted HIV testing through different types of programs. [13][14][15][16][17][18] Because HIV testing is available in many US EDs, as well as in many other healthcare and non-healthcare settings, and given the falling HIV incidence in the US, 19,20 it is valuable to reconsider if US EDs should continue to provide this clinical and public health service. If current ED HIV testing is not meeting need, then efforts could be expanded to decrease the burden of undiagnosed HIV infections and help slow the spread of HIV.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Lack of HIV Testing among Latino Immigrant and Black Patients at 4 Geographically and Demographically Diverse Emergency Departments

Bennett

Marks

Liu

et al. 2020

J Int Assoc Provid AIDS Care

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The need for HIV testing in US emergency departments (EDs) has not been assessed, particularly among Latino immigrants and Blacks. We surveyed Latino immigrant and Black 18 to 64-year-old patients at 4 EDs about demographic characteristics, HIV testing history, and health literacy. A subset of patients was further surveyed on HIV risk-taking behaviors. Of the 2,265 participants, 24% had never been tested for HIV. Latino immigrants were more likely than Blacks never to have been tested for HIV (28% vs. 16%). In multivariable logistic regression, for Latino immigrants, male gender and lower health literacy were associated with no previous HIV testing. Among the 1,141-participant subset providing HIV risk-taking behavior data, 23% reported at least one risk factor and of those with at least one risk factor, 23% had never been tested for HIV. There remains a need for HIV testing among adult Latino immigrant and Black patients in US EDs.

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