Dataset Information

Central implementation strategies outperform local ones in improving HIV testing in Veterans Healthcare Administration facilities.

ABSTRACT:

Background

Pilot data suggest that a multifaceted approach may increase HIV testing rates, but the scalability of this approach and the level of support needed for successful implementation remain unknown.

Objective

To evaluate the effectiveness of a scaled-up multi-component intervention in increasing the rate of risk-based and routine HIV diagnostic testing in primary care clinics and the impact of differing levels of program support.

Design

Three arm, quasi-experimental implementation research study.

Setting

Veterans Health Administration (VHA) facilities.

Patients

Persons receiving primary care between June 2009 and September 2011 INTERVENTION: A multimodal program, including a real-time electronic clinical reminder to facilitate HIV testing, provider feedback reports and provider education, was implemented in Central and Local Arm Sites; sites in the Central Arm also received ongoing programmatic support. Control Arm sites had no intervention

Main measures

Frequency of performing HIV testing during the 6 months before and after implementation of a risk-based clinical reminder (phase I) or routine clinical reminder (phase II).

Key results

The adjusted rate of risk-based testing increased by 0.4 %, 5.6 % and 10.1 % in the Control, Local and Central Arms, respectively (all comparisons, p?ConclusionsUse of clinical reminders, provider feedback, education and social marketing significantly increased the frequency at which HIV testing is offered and performed in VHA facilities. These findings support a multimodal approach toward achieving the goal of having every American know their HIV status as a matter of routine clinical practice.

SUBMITTER: Goetz MB

PROVIDER: S-EPMC3785651 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Central implementation strategies outperform local ones in improving HIV testing in Veterans Healthcare Administration facilities.

Goetz Matthew Bidwell MB Hoang Tuyen T Knapp Herschel H Burgess Jane J Fletcher Michael D MD Gifford Allen L AL Asch Steven M SM

Journal of general internal medicine 20130419 10

<h4>Background</h4>Pilot data suggest that a multifaceted approach may increase HIV testing rates, but the scalability of this approach and the level of support needed for successful implementation remain unknown.<h4>Objective</h4>To evaluate the effectiveness of a scaled-up multi-component intervention in increasing the rate of risk-based and routine HIV diagnostic testing in primary care clinics and the impact of differing levels of program support.<h4>Design</h4>Three arm, quasi-experimental ...[more]

PMID: 23605307

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Dataset Information

Central implementation strategies outperform local ones in improving HIV testing in Veterans Healthcare Administration facilities.

Background

Objective

Design

Setting

Patients

Main measures

Key results

Publications

Central implementation strategies outperform local ones in improving HIV testing in Veterans Healthcare Administration facilities.

Similar Datasets

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