Missed Opportunities for HIV Diagnosis

It has been previously shown that patients may present for multiple health issues in the years preceding their initial HIV diagnosis. This retrospective cohort study analyzed the data of patients with a new HIV diagnosis, at Ochsner Health System between January 1, 2011, and December 31, 2012. The p...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2017-01, Vol.16 (1), p.14-17
Main Authors: Downing, Asia, Garcia-Diaz, Julia B.
Format: Article
Language:English
Subjects:
Access
Adult
Ambulatory Care - statistics & numerical data
Behavior modification
Delayed Diagnosis - statistics & numerical data
Emergency Medical Services
Female
Health services
Health Services Accessibility
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Lentivirus
Louisiana - epidemiology
Male
Medical tests
Middle Aged
Patients
Primary care
Primary Health Care
Retrospective Studies
Retroviridae
Young Adult
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Summary:It has been previously shown that patients may present for multiple health issues in the years preceding their initial HIV diagnosis. This retrospective cohort study analyzed the data of patients with a new HIV diagnosis, at Ochsner Health System between January 1, 2011, and December 31, 2012. The primary end point was missed opportunities, the number of healthcare visits these patients made in the 2 years prior to being diagnosed with HIV. The 125 patients in the study cohort had 649 healthcare visits during which an HIV test was not performed. These missed opportunities are the key to capturing the undiagnosed and unaware HIV-positive individual. Primary care is an ideal setting to conduct HIV testing for those who have access to regular health care. However, nontraditional providers should also be encouraged to conduct HIV testing regardless of their ability to provide treatment because evidence shows that knowledge of the diagnosis may change behavior.
ISSN:2325-9582
2325-9574
2325-9582
DOI:10.1177/2325957416661423