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Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium.

Publication ,  Journal Article
Kecojevic, A; Lindsell, CJ; Lyons, MS; Holtgrave, D; Torres, G; Heffelfinger, J; Brown, J; Couture, E; Jung, J; Connell, S; Rothman, RE ...
Published in: Ann Emerg Med
July 2011

OBJECTIVE: Understanding perceived benefits and disadvantages of HIV testing in emergency departments (EDs) is imperative to overcoming barriers to implementation. We codify those domains of public health and clinical care most affected by implementing HIV testing in EDs, as determined by expert opinion. METHODS: Opinions were systematically collected from attendees of the 2007 National ED HIV Testing Consortium meeting. Structured evaluation of strengths, weaknesses, opportunities, and threats analysis was conducted to assess the impact of ED-based HIV testing on public health. A modified Delphi method was used to assess the impact of ED-based HIV testing on clinical care from both individual patient and individual provider perspectives. RESULTS: Opinions were provided by 98 experts representing 42 academic and nonacademic institutions. Factors most frequently perceived to affect public health were (strengths) high volume of ED visits and high prevalence of HIV, (weaknesses) undue burden on EDs, (opportunities) reduction of HIV stigma, and (threats) lack of resources in EDs. Diagnostic testing and screening for HIV were considered to have a favorable impact on ED clinical care from both individual patient and individual provider perspectives; however, negative test results were not perceived to have any benefit from the provider's perspective. The need for HIV counseling in the ED was considered to have a negative impact on clinical care from the provider's perspective. CONCLUSION: Experts in ED-based HIV testing perceived expanded ED HIV testing to have beneficial impacts for both the public health and individual clinical care; however, limited resources were frequently cited as a possible impediment. Many issues must be resolved through further study, education, and policy changes if the full potential of HIV testing in EDs is to be realized.

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Published In

Ann Emerg Med

DOI

EISSN

1097-6760

Publication Date

July 2011

Volume

58

Issue

1 Suppl 1

Start / End Page

S151 / 9.e1

Location

United States

Related Subject Headings

  • United States
  • Public Health
  • Program Evaluation
  • Humans
  • Health Care Surveys
  • HIV Infections
  • Focus Groups
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine
  • Early Diagnosis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kecojevic, A., Lindsell, C. J., Lyons, M. S., Holtgrave, D., Torres, G., Heffelfinger, J., … National Emergency Department HIV Testing Consortium, . (2011). Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium. Ann Emerg Med, 58(1 Suppl 1), S151-9.e1. https://doi.org/10.1016/j.annemergmed.2011.03.040
Kecojevic, Aleksandar, Christopher J. Lindsell, Michael S. Lyons, David Holtgrave, Gretchen Torres, James Heffelfinger, Jeremy Brown, et al. “Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium.Ann Emerg Med 58, no. 1 Suppl 1 (July 2011): S151-9.e1. https://doi.org/10.1016/j.annemergmed.2011.03.040.
Kecojevic A, Lindsell CJ, Lyons MS, Holtgrave D, Torres G, Heffelfinger J, et al. Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium. Ann Emerg Med. 2011 Jul;58(1 Suppl 1):S151-9.e1.
Kecojevic, Aleksandar, et al. “Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium.Ann Emerg Med, vol. 58, no. 1 Suppl 1, July 2011, pp. S151-9.e1. Pubmed, doi:10.1016/j.annemergmed.2011.03.040.
Kecojevic A, Lindsell CJ, Lyons MS, Holtgrave D, Torres G, Heffelfinger J, Brown J, Couture E, Jung J, Connell S, Rothman RE, National Emergency Department HIV Testing Consortium. Public health and clinical impact of increasing emergency department-based HIV testing: perspectives from the 2007 conference of the National Emergency Department HIV Testing Consortium. Ann Emerg Med. 2011 Jul;58(1 Suppl 1):S151-9.e1.
Journal cover image

Published In

Ann Emerg Med

DOI

EISSN

1097-6760

Publication Date

July 2011

Volume

58

Issue

1 Suppl 1

Start / End Page

S151 / 9.e1

Location

United States

Related Subject Headings

  • United States
  • Public Health
  • Program Evaluation
  • Humans
  • Health Care Surveys
  • HIV Infections
  • Focus Groups
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine
  • Early Diagnosis