A Comparison of Patient and Staff Attitudes About Emergency Department–Based HIV Testing in 2 Urban Hospitals - 22/06/13
, Karina Radonich, BS b, Oksana Kozlovskaya, BS c, Vicken Y. Totten, MD d
Address for correspondence: Michael D. Smith, MD, MetroHealth Medical Center, 2500 MetroHealth Dr BG6, Cleveland, OH 44109-1998; 216-778-2100, fax 216-778-2400Résumé |
Objective |
This study compares and contrasts emergency department (ED) patient and staff attitudes towards ED-based HIV testing in 2 major hospitals in a single city, with an attempt to answer the following: Should routine ED-based HIV testing be offered? If so, who should be responsible for disclosing HIV test results? And what barriers might prevent ED-based HIV testing?
Methods |
Paper-based surveys were presented to a convenience sample of ED patients and staff at 2 urban, academic, tertiary care hospitals between December 2007 and June 2009. Descriptive statistics were derived with SAS and MicroSoft Excel. Data are reported in percentages, fractions, and graphs.
Results |
A total of 457 patients and 85 staff completed the surveys. The majority of patients favor ED-based HIV testing. Only a minority of ED staff support ED-based HIV testing. In both hospitals, patients prefer to have HIV test results delivered by a physician. This was true for both positive and negative results. However, only about one third of attending physicians feel comfortable disclosing a positive HIV test result. Patients and staff both view privacy and confidentiality as significant barriers to ED-based HIV testing.
Conclusion |
Although ED patients are overwhelmingly in favor of ED-based HIV testing, the staff is not. Patients and staff agree that physicians should deliver HIV test results to patients, but a significant number of physicians are not comfortable doing so. Historical barriers continue to hinder ED-based HIV testing programs.
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. |
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| Publication of this article was supported by Centers for Disease Control and Prevention, Atlanta, GA. |
Vol 58 - N° 1S
P. S28-S32.e4 - juillet 2011 Retour au numéro
Article précédent
- A Simple Method for Estimating the Prevalence of Undiagnosed HIV Infection in an Emergency Department
- Christopher J. Lindsell, Kimberly W. Hart, Michael S. Lyons
- Ethical, Financial, and Legal Considerations to Implementing Emergency Department HIV Screening: A Report From the 2007 Conference of the National Emergency Department HIV Testing Consortium
- Michael J. Waxman, Rachel S. Popick, Roland C. Merchant, Richard E. Rothman, Judy B. Shahan, Gregory Almond
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