A Comparison of Patient Satisfaction with Emergency Department Opt-In and Opt-Out Rapid HIV Screening

Overview

Journal AIDS Res Treat

Publisher Wiley

Specialty Infectious Diseases

Date 2012 Mar 9

PMID 22400107

Citations 6

Authors

Douglas A E White

Alicia N Scribner

Maria E Martin

Stacy Tsai

Affiliations

Soon will be listed here.

Abstract

Study objective. To compare patient satisfaction with emergency department (ED) opt-in and opt-out HIV screening. Methods. We conducted a survey in an urban ED that provided rapid HIV screening using opt-in (February 1, 2007-July 31, 2007) and opt-out (August 1, 2007-January 31, 2008) approaches. We surveyed a convenience sample of patients that completed screening in each phase. The primary outcome was patient satisfaction with HIV screening. Results. There were 207 and 188 completed surveys during the opt-in and opt-out phases, respectively. The majority of patients were satisfied with both opt-in screening (95%, 95% confidence interval [CI] = 92-98) and opt-out screening (94%, 95% CI = 89-97). Satisfaction ratings were similar between opt-in and opt-out phases even after adjusting for age, gender, race/ethnicity, and test result (adjusted odds ratio 1.3, 95% CI = 0.5-3.1). Conclusions. Emergency department patient satisfaction with opt-in and opt-out HIV screening is similarly high.

Citing Articles

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Public attitudes towards opt-out testing for HIV in primary care: a qualitative study.

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References

Haukoos J, Hopkins E, Byyny R . Patient acceptance of rapid HIV testing practices in an urban emergency department: assessment of the 2006 CDC recommendations for HIV screening in health care settings. Ann Emerg Med. 2008; 51(3):303-9, 309.e1. DOI: 10.1016/j.annemergmed.2007.10.028. View

Bokhour B, Solomon J, Knapp H, Asch S, Gifford A . Barriers and facilitators to routine HIV testing in VA primary care. J Gen Intern Med. 2009; 24(10):1109-14. PMC: 2762506. DOI: 10.1007/s11606-009-1078-6. View

Lyons M, Haukoos J, Merchant R, White D, Rothman R, Aldridge C . Nomenclature and definitions for emergency department human immunodeficiency virus (HIV) testing: report from the 2007 conference of the National Emergency Department HIV Testing Consortium. Acad Emerg Med. 2008; 16(2):168-77. PMC: 3173973. DOI: 10.1111/j.1553-2712.2008.00300.x. View

Brown J, Kuo I, Bellows J, Barry R, Bui P, Wohlgemuth J . Patient perceptions and acceptance of routine emergency department HIV testing. Public Health Rep. 2009; 123 Suppl 3:21-6. PMC: 2567016. DOI: 10.1177/00333549081230S304. View

Ahmed A, Hanssens C, Kelly B . Protecting HIV-positive women's human rights: recommendations for the United States National HIV/AIDS Strategy. Reprod Health Matters. 2009; 17(34):127-34. DOI: 10.1016/S0968-8080(09)34464-X. View

Branson B, Handsfield H, Lampe M, Janssen R, Taylor A, Lyss S . Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006; 55(RR-14):1-17. View

Stringer E, Stringer J, Cliver S, Goldenberg R, Goepfert A . Evaluation of a new testing policy for human immunodeficiency virus to improve screening rates. Obstet Gynecol. 2002; 98(6):1104-8. DOI: 10.1016/s0029-7844(01)01631-3. View

Simpson W, Johnstone F, Goldberg D, Gormley S, Hart G . Antenatal HIV testing: assessment of a routine voluntary approach. BMJ. 1999; 318(7199):1660-1. PMC: 28144. DOI: 10.1136/bmj.318.7199.1660. View

Haukoos J, Hopkins E, Conroy A, Silverman M, Byyny R, Eisert S . Routine opt-out rapid HIV screening and detection of HIV infection in emergency department patients. JAMA. 2010; 304(3):284-92. DOI: 10.1001/jama.2010.953. View

10.

Galletly C, Pinkerton S, Petroll A . CDC recommendations for opt-out testing and reactions to unanticipated HIV diagnoses. AIDS Patient Care STDS. 2008; 22(3):189-93. PMC: 2728134. DOI: 10.1089/apc.2007.0104. View

11.

Stanley B, Fraser J, Cox N . Uptake of HIV screening in genitourinary medicine after change to "opt-out" consent. BMJ. 2003; 326(7400):1174. PMC: 156454. DOI: 10.1136/bmj.326.7400.1174. View

12.

Bartlett J, Branson B, Fenton K, Hauschild B, Miller V, Mayer K . Opt-out testing for human immunodeficiency virus in the United States: progress and challenges. JAMA. 2008; 300(8):945-51. DOI: 10.1001/jama.300.8.945. View

13.

White D, Scribner A, Vahidnia F, Dideum P, Gordon D, Frazee B . HIV screening in an urban emergency department: comparison of screening using an opt-in versus an opt-out approach. Ann Emerg Med. 2011; 58(1 Suppl 1):S89-95. DOI: 10.1016/j.annemergmed.2011.03.032. View

14.

Brown J, Shesser R, Simon G, Bahn M, Czarnogorski M, Kuo I . Routine HIV screening in the emergency department using the new US Centers for Disease Control and Prevention Guidelines: results from a high-prevalence area. J Acquir Immune Defic Syndr. 2007; 46(4):395-401. DOI: 10.1097/qai.0b013e3181582d82. View

15.

Holtgrave D . Costs and consequences of the US Centers for Disease Control and Prevention's recommendations for opt-out HIV testing. PLoS Med. 2007; 4(6):e194. PMC: 1891318. DOI: 10.1371/journal.pmed.0040194. View

16.

Hanssens C . Legal and ethical implications of opt-out HIV testing. Clin Infect Dis. 2008; 45 Suppl 4:S232-9. DOI: 10.1086/522543. View

17.

Simpson W, Johnstone F, BOYD F, Goldberg D, Hart G, Prescott R . Uptake and acceptability of antenatal HIV testing: randomised controlled trial of different methods of offering the test. BMJ. 1998; 316(7127):262-7. PMC: 2665496. DOI: 10.1136/bmj.316.7127.262. View

18.

Young S, Monin B, Owens D . Opt-out testing for stigmatized diseases: a social psychological approach to understanding the potential effect of recommendations for routine HIV testing. Health Psychol. 2009; 28(6):675-81. PMC: 2965185. DOI: 10.1037/a0016395. View