We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Provider and practice characteristics associated with use of rapid HIV Testing by general internists.
- Authors
Bass, Michael; Korthuis, P.; Cofrancesco, Joseph; Berkenblit, Gail; Sullivan, Lynn; Asch, Steve; Bashook, Philip; Edison, Marcia; Sosman, James; Cook, Robert; Bass, Michael G; Korthuis, P Todd; Cofrancesco, Joseph Jr; Berkenblit, Gail V; Sullivan, Lynn E; Asch, Steve M; Bashook, Philip G; Sosman, James M; Cook, Robert L
- Abstract
<bold>Background: </bold>Rapid HIV testing could increase routine HIV testing. Most previous studies of rapid testing were conducted in acute care settings, and few described the primary care providers' perspective.<bold>Objective: </bold>To identify characteristics of general internal medicine physicians with access to rapid HIV testing, and to determine whether such access is associated with differences in HIV-testing practices or perceived HIV-testing barriers.<bold>Design: </bold>Web-based cross-sectional survey conducted in 2009.<bold>Participants: </bold>A total of 406 physician members of the Society of General Internal Medicine who supervise residents or provide care in outpatient settings.<bold>Main Measures: </bold>Surveys assessed provider and practice characteristics, HIV-testing types, HIV-testing behavior, and potential barriers to HIV testing.<bold>Results: </bold>Among respondents, 15% had access to rapid HIV testing. In multivariable analysis, physicians were more likely to report access to rapid testing if they were non-white (OR 0.45, 95% CI 0.22, 0.91), had more years since completing training (OR 1.06, 95% CI 1.02, 1.10), practiced in the northeastern US (OR 2.35; 95% CI 1.28, 4.32), or their practice included a higher percentage of uninsured patients (OR 1.03; 95% CI 1.01, 1.04). Internists with access to rapid testing reported fewer barriers to HIV testing. More respondents with rapid than standard testing reported at least 25% of their patients received HIV testing (51% versus 35%, p = 0.02). However, access to rapid HIV testing was not significantly associated with the estimated proportion of patients receiving HIV testing within the previous 30 days (7.24% vs. 4.58%, p = 0.06).<bold>Conclusion: </bold>Relatively few internists have access to rapid HIV testing in outpatient settings, with greater availability of rapid testing in community-based clinics and in the northeastern US. Future research may determine whether access to rapid testing in primary care settings will impact routinizing HIV testing.
- Subjects
UNITED States; RAPID methods (Microbiology); DIAGNOSIS of HIV infections; INTERNISTS; GENERAL practitioners; MEDICAL care surveys; OUTPATIENT medical care; HIV prevention; COMPARATIVE studies; CONFIDENCE intervals; HEALTH services accessibility; INTERNAL medicine; RESEARCH methodology; MEDICAL needs assessment; MEDICAL cooperation; PRIMARY health care; RESEARCH; RESEARCH funding; SURVEYS; TIME; PILOT projects; EVALUATION research; CROSS-sectional method; ODDS ratio
- Publication
JGIM: Journal of General Internal Medicine, 2011, Vol 26, Issue 11, p1258
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-011-1764-z