Evidence map›Paper›PMID 21710314›Full record

ArticleJournal of general internal medicine2011

Provider and practice characteristics associated with use of rapid HIV Testing by general internists.

Michael G Bass, P Todd Korthuis, Joseph Cofrancesco, Gail V Berkenblit, Lynn E Sullivan, Steve M Asch, Philip G Bashook, Marcia Edison, James M Sosman, Robert L Cook

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michael G BassDepartment of Medical Education, University of Illinois College of Medicine, Chicago, IL, USA.
P Todd Korthuis
Joseph Cofrancesco
Gail V Berkenblit
Lynn E Sullivan
Steve M Asch
Philip G Bashook
Marcia Edison
James M Sosman
Robert L Cook

Funding

Quality Outcomes for Patients with Drug Abuse and HIVK23DA019809 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2007 to 2011
$892k
SGIM Project: HIV Prevention with National Medical AssociationsU22PS000551 · PS · SOCIETY OF GENERAL INTERNAL MEDICINE · PI SOSMAN, JAMES · 2006 to 2008
$836k
NCHHSTP CDC HHS U22 PS000551NCHHSTP CDC HHS U22 PS00551-02NIDA NIH HHS K23 DA019809
6 · The paper itself

Abstract

backgroundRapid HIV testing could increase routine HIV testing. Most previous studies of rapid testing were conducted in acute care settings, and few described the primary care providers' perspective.

objectiveTo identify characteristics of general internal medicine physicians with access to rapid HIV testing, and to determine whether such access is associated with differences in HIV-testing practices or perceived HIV-testing barriers.

designWeb-based cross-sectional survey conducted in 2009.

participantsA total of 406 physician members of the Society of General Internal Medicine who supervise residents or provide care in outpatient settings. MAIN MEASURES: Surveys assessed provider and practice characteristics, HIV-testing types, HIV-testing behavior, and potential barriers to HIV testing.

resultsAmong respondents, 15% had access to rapid HIV testing. In multivariable analysis, physicians were more likely to report access to rapid testing if they were non-white (OR 0.45, 95% CI 0.22, 0.91), had more years since completing training (OR 1.06, 95% CI 1.02, 1.10), practiced in the northeastern US (OR 2.35; 95% CI 1.28, 4.32), or their practice included a higher percentage of uninsured patients (OR 1.03; 95% CI 1.01, 1.04). Internists with access to rapid testing reported fewer barriers to HIV testing. More respondents with rapid than standard testing reported at least 25% of their patients received HIV testing (51% versus 35%, p = 0.02). However, access to rapid HIV testing was not significantly associated with the estimated proportion of patients receiving HIV testing within the previous 30 days (7.24% vs. 4.58%, p = 0.06).

conclusionRelatively few internists have access to rapid HIV testing in outpatient settings, with greater availability of rapid testing in community-based clinics and in the northeastern US. Future research may determine whether access to rapid testing in primary care settings will impact routinizing HIV testing.

Indexed as

Confidence IntervalsCross-Sectional StudiesHealth Care SurveysHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansInternal MedicineOdds RatioPilot ProjectsPractice Patterns, Physicians'Primary Health CareTime FactorsUnited States

Identifiers

PMID21710314
PMCPMC3208478

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.