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Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.
Bagchi, Ann Dalton; Davis, Tracy.
Afiliação
  • Bagchi AD; School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA.
  • Davis T; Department of Interdisciplinary Studies, School of Health Professions Rutgers, The State University of New Jersey, Blackwood, NJ, USA.
J Int Assoc Provid AIDS Care ; 19: 2325958220936014, 2020.
Article em En | MEDLINE | ID: mdl-32588712
BACKGROUND: Routine HIV screening rates are suboptimal. OBJECTIVES: This systematic review identified barriers to/facilitators of routine HIV testing, categorized them using the socioecological model (SEM), and provided recommendations for interventions to increase screening. DATA SOURCES: Included articles were indexed in PubMed, EBSCO CINAHL, Scopus, Web of Science, and the Cochrane Library between 2006 and October 2018. ELIGIBILITY CRITERIA: Included studies were published in English or Spanish and directly assessed providers' barriers/facilitators to routine screening. DATA EXTRACTION: We used a standardized Excel template to extract barriers/facilitators and identify levels in the SEM. DATA SYNTHESIS: Intrapersonal factors predominated as barriers, while facilitators were directed at the institutional level. LIMITATIONS: Policy barriers are not universal across countries. Meta-analysis was not possible. We could not quantify frequency of any given barrier/facilitator. CONCLUSIONS: Increasing reimbursement and adding screening as a quality measure may incentivize HIV testing; however, many interventions would require little resource investment.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 10_ODS3_salud_sexual_reprodutiva / 2_ODS3 Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Infecções por HIV / Programas de Rastreamento / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies / Screening_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: J Int Assoc Provid AIDS Care Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 10_ODS3_salud_sexual_reprodutiva / 2_ODS3 Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Infecções por HIV / Programas de Rastreamento / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies / Screening_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: J Int Assoc Provid AIDS Care Ano de publicação: 2020 Tipo de documento: Article