Perceptions of Human Immunodeficiency Virus (HIV) Testing Services Among HIV-Positive Persons Not in Medical Care

Rudy, Ellen T.; Mahoney-Anderson, Pamela J.; Loughlin, Anita M.; Metsch, Lisa R.; Kerndt, Peter R.; Gaul, Zaneta; Rı́o, Carlos del

doi:10.1097/01.olq.0000156132.19021.ba

Cited by 14 publications

(9 citation statements)

References 35 publications

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“…Overall, most respondents described feeling dissatisfied with their CTR experience, predominantly owing to a perceived lack of adequate counseling or information at the time of diagnosis. These data add to previous findings by Rudy et al (2005), which identified deficiencies within the counseling process. Increased training of CTR staff to provide more thorough posttest counseling in all HIV test settings may be needed to counteract this barrier to accessing care.…”

Section: Perception Of Follow-up Servicessupporting

confidence: 67%

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Garland

Valverde²,

Fagan³

et al. 2011

AIDS Education and Prevention

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Section: Perception Of Follow-up Servicessupporting

confidence: 67%

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Garland

Valverde²,

Fagan³

et al. 2011

AIDS Education and Prevention

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“…2–4 Satisfaction with the HIV testing process has been associated with the patient’s comfort level with the health care worker, the adequacy of the time spent with the patient, and the health care worker’s ability to answer questions. 9,10 …”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction With Rapid HIV Testing in the Emergency Department

Donnell‐Fink

Reichmann

Arbelaez

et al. 2011

Annals of Emergency Medicine

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Objective Patient satisfaction with HIV screening is crucial for sustainable implementation of the Centers for Disease Control and Prevention (CDC) HIV testing recommendations. This investigation assesses patient satisfaction with rapid HIV testing in the emergency department (ED) of an urban tertiary academic medical center. Methods After receiving HIV test results, participants in the Universal Screening for HIV Infection in the Emergency Room (USHER) randomized controlled trial were offered a patient satisfaction survey. Questions concerned overall satisfaction with ED visit, time spent on primary medical problem, time spent on HIV testing, and test provider’s ability to answer HIV-related questions. Responses were reported on a 4-point Likert scale, ranging from very dissatisfied to very satisfied (defined as optimal satisfaction). Results Of 4,860 USHER participants, 2,025 completed testing and were offered the survey: 1,616 (79.8%) completed the survey. Overall, 1,478 (91.5%) were very satisfied. Satisfaction was less than optimal for 34.5% (10 of 29) of participants with reactive results and for 7.5% (115 of 1,542) with nonreactive results. The independent factors associated with less than optimal satisfaction were reactive test result, aged 60 years or older, black race, Hispanic/Latino ethnicity, and testing by ED provider instead of HIV counselor. Conclusion Most participants were very satisfied with the ED-based rapid HIV testing program. Identification of independent factors that correlate with patient satisfaction will help guide best practices as EDs implement CDC recommendations. It is critical to better understand whether patients with reactive results were negatively affected by their results or truly had concerns about the testing process.

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“…Canadian provinces and territories using the opt-in prenatal HIV testing and counselling approach (Yukon, British Columbia, Saskatchewan, Ontario, and Prince Edward Island) show lower testing rates than those who are using the opt-out approach (Manitoba, New Brunswick, Northwest Territories, Nunavut, Alberta, Nova Scotia, Quebec, and Newfoundland and Labrador) [73]. Even though HIV testing rates with the optout approach may be higher, the negative is that (a) health care providers may conduct less counselling, (b) less information about the contact tracing process will be conveyed, and (c) the rights of index cases may be compromised [73][74][75].…”

Section: Informed Consentmentioning

confidence: 99%

A systematic review and comparison of HIV contact tracing laws in Canada

Lunny

Shearer

2011

Health Policy

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Perceptions of Human Immunodeficiency Virus (HIV) Testing Services Among HIV-Positive Persons Not in Medical Care

Abstract: Further training and quality assurance in HIV CTR may be needed in some test settings.

Cited by 14 publications

References 35 publications

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

HIV Counseling, Testing and Referral Experiences of Persons Diagnosed with HIV Who Have Never Entered HIV Medical Care

Patient Satisfaction With Rapid HIV Testing in the Emergency Department

A systematic review and comparison of HIV contact tracing laws in Canada

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