Provider and Practice Characteristics Associated with Use of Rapid HIV Testing by General Internists

Bass, Michael; Korthuis, P. Todd; Cofrancesco, Joseph; Berkenblit, Gail; Sullivan, Lynn E.; Asch, Steve; Bashook, Philip G.; Edison, Marcia; Sosman, James M.; Cook, Robert L.

doi:10.1007/s11606-011-1764-z

Cited by 6 publications

(15 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, our response rate of 53.2% was higher than other studies surveying physician practices of HIV screening. (10, 18, 25, 26) Furthermore, non-responders were similar to responders with respect to provider type and sex, although non-responders were more likely to practice in suburban areas. Another limitation of this study is that we surveyed providers affiliated with one pediatric primary care network.…”

Section: Discussionmentioning

confidence: 89%

Pediatric Primary Care Provider Practices, Knowledge, and Attitudes of Human Immunodeficiency Virus Screening among Adolescents

Goyal¹,

Dowshen²,

Mehta³

et al. 2013

The Journal of Pediatrics

View full text Add to dashboard Cite

Objectives To evaluate pediatric primary care provider (PCP) HIV screening practices, knowledge, and attitudes. Study design Anonymous cross-sectional, internet-based survey of pediatric PCPs from 29 primary care practices. Survey items assessed current HIV screening practices and knowledge, attitudes, and perceived barriers towards screening. Provider demographics and practice characteristics were analyzed for associations with screening through logistic regression. Results Of 190 PCPs, there were 101 evaluable responses (response rate: 53.2%). PCPs reported a screening rate for HIV of 39.6% (“most” or “all of the time”) during routine adolescent visits compared with violence (60.4%), substance abuse (92.1%), and depression (94.1%) (p<0.001). Less than 10% of PCPs correctly answered questions related to CDC and state HIV screening recommendations. Of 20 potential HIV screening barriers assessed, mean number of reported barriers was 4.8 (SD +/− 2.9); with most concerns related to confidentiality, time for counseling, and follow up. In a multivariable model, the only factor significantly associated with HIV screening “most” or “all of the time” during routine adolescent visits was urban practice site (adjusted odds ratio 9.8, 95% CI 2.9, 32.9). Provider type, sex, years since training, HIV screening guideline knowledge, and endorsing ≤5 barriers were not associated with HIV screening. Conclusions Although providers practicing in urban areas were more likely to report screening adolescents for HIV than those in suburban areas, overall self-reported screening rates were low, and several barriers were identified commonly. Future interventions should target increasing providers’ knowledge and addressing concerns about confidentiality, requirements and counseling time, and follow-up of results.

show abstract

Section: Discussionmentioning

confidence: 89%

Pediatric Primary Care Provider Practices, Knowledge, and Attitudes of Human Immunodeficiency Virus Screening among Adolescents

Goyal¹,

Dowshen²,

Mehta³

et al. 2013

The Journal of Pediatrics

View full text Add to dashboard Cite

show abstract

“…One other subgroup analysis of provider rapid HIV testing behaviors is reported elsewhere. 19 This study was reviewed and approved by the Institutional Review Board at Oregon Health and Science University and Johns Hopkins School of Medicine.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

et al. 2012

Self Cite

View full text Add to dashboard Cite

“…8,13 Federally funded studies have reported that routine HIV testing does not seem to have been adopted in ED settings on a widespread basis. 5 Other aspects of practice setting associated with the adoption of routine HIV testing include a high proportion of minority 18 and Medicaid-funded patients, 5,8,10,11,19 access to rapid testing, 18,20,21 and location in urban areas. 10,13,16 An accurate understanding of guidelines by medical practitioners seems to be a prerequisite for successful implementation of routine HIV testing.…”

Section: Introductionmentioning

confidence: 99%

Correlates of Routine HIV Testing Practices

Zielinski

Leung

Akkaya-Hocagil

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

View full text Add to dashboard Cite

show abstract

Provider and Practice Characteristics Associated with Use of Rapid HIV Testing by General Internists

Cited by 6 publications

References 25 publications

Pediatric Primary Care Provider Practices, Knowledge, and Attitudes of Human Immunodeficiency Virus Screening among Adolescents

Pediatric Primary Care Provider Practices, Knowledge, and Attitudes of Human Immunodeficiency Virus Screening among Adolescents

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

Correlates of Routine HIV Testing Practices

Contact Info

Product

Resources

About