J Clin Outcomes Manage
HIV screening practices in an urban outpatient resident clinic
Doll lM, Ward L, Bettiker, Samuel R
ABSTRACT Objective: To review the HIV screening practices of internal medicine residents in our outpatient clinic and to survey physicians and patients to determine acceptability of screening. Methods: A retrospective chart review (n = 205) was conducted to evaluate if HIV screening took place. A separate sample of clinic patients was surveyed regarding acceptability of testing. Physicians were surveyed regarding their perceived success in HIV screening and identification of barriers to screening efforts. Results: HIV screening was offered to 39% (80) of patients and 35% (71) were tested. Factors associated with HIV risk were present in 45%. In the subset of patients not offered testing, 29% had a risk factor associated with HIV. 64% of physicians said they would screen more patients if rapid testing were available. Time constraints and competing health issues were cited as the greatest barriers to screening. Only 4 of 29 patients said they would decline testing. Conclusion: HIV testing is underperformed in our clinic. Most patients were receptive to HIV testing.
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