Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature
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...
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2020-06-01
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Series: | Journal of the International Association of Providers of AIDS Care |
Online Access: | https://doi.org/10.1177/2325958220936014 |
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doaj-ccf6038e8f2f44cdb62da4984d6163002020-11-25T03:30:26ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822020-06-011910.1177/2325958220936014Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the LiteratureAnn Dalton Bagchi PhD, DNP0Tracy Davis PhD1 School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA Department of Interdisciplinary Studies, School of Health Professions Rutgers, The State University of New Jersey, Blackwood, NJ, USABackground: 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.https://doi.org/10.1177/2325958220936014 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ann Dalton Bagchi PhD, DNP Tracy Davis PhD |
spellingShingle |
Ann Dalton Bagchi PhD, DNP Tracy Davis PhD Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature Journal of the International Association of Providers of AIDS Care |
author_facet |
Ann Dalton Bagchi PhD, DNP Tracy Davis PhD |
author_sort |
Ann Dalton Bagchi PhD, DNP |
title |
Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature |
title_short |
Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature |
title_full |
Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature |
title_fullStr |
Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature |
title_full_unstemmed |
Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature |
title_sort |
clinician barriers and facilitators to routine hiv testing: a systematic review of the literature |
publisher |
SAGE Publishing |
series |
Journal of the International Association of Providers of AIDS Care |
issn |
2325-9582 |
publishDate |
2020-06-01 |
description |
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. |
url |
https://doi.org/10.1177/2325958220936014 |
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