ArticleInternational journal of STD & AIDS2017
General practitioners' barriers and facilitators towards new provider-initiated HIV testing strategies: a qualitative study.
Article in International journal of STD & AIDS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Understanding access to sexual and reproductive health in general practice using an adapted Candidacy Framework: a systematic review and qualitative evidence synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Missed opportunities for HIV testing among those who accessed sexually transmitted infection (STI) services, tested for STIs and diagnosed with STIs: a systematic review and meta-analysis.Journal of the International AIDS Society · 2023Pooled it
- HIV testing within general practices in Europe: a mixed-methods systematic review.BMC public health · 2018Pooled it
- HIV testing in primary care in the West of Ireland: a mixed-method survey between 2013 and 2023.BJGP open · 2025Article
- Article
- Effect of a multimodal continuing professional development initiative on HIV testing in primary care in British Columbia, Canada.AIDS research and therapy · 2024Article
- The rise of congenital syphilis in Canada: threats and opportunities.Frontiers in public health · 2024Review
- Understanding the effect of an educational intervention to optimize HIV testing strategies in primary care in Amsterdam - results of a mixed-methods study.BMC primary care · 2023Article
- The Application of Systems Thinking to the Prevention and Control of Sexually Transmissible Infections among Adolescents and Adults: A Scoping Review.International journal of environmental research and public health · 2023Article
- Provider-Initiated HIV Testing in Puerto Rico from Data of the National HIV Behavioral Surveillance-Heterosexual Cycle (NHBS-HET) 2016: National Cross-sectional Survey.JMIR public health and surveillance · 2022Article
- Who is providing HIV diagnostic testing? Comparing HIV testing by general practitioners and sexual health centres in five regions in the Netherlands, 2011-2018.Sexually transmitted infections · 2022Observational
- Article
- Understanding Reasons for HIV Late Diagnosis: A Qualitative Study Among HIV-Positive Individuals in Amsterdam, The Netherlands.AIDS and behavior · 2021Article
- Rationale, design and initial results of an educational intervention to improve provider-initiated HIV testing in primary care.Family practice · 2021Article
- Community-based HIV testing in The Netherlands: experiences of lay providers and end users at a rapid HIV test checkpoint.AIDS research and therapy · 2021Article
- Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa.Archives of sexual behavior · 2021Article
- Identifying key elements to inform HIV-testing interventions for primary care in Belgium.Health promotion international · 2020Article
- Sexual behaviour and STI testing among Dutch swingers: A cross-sectional internet based survey performed in 2011 and 2018.PloS one · 2020Article
- Timeliness of diagnosis of HIV in Newfoundland and Labrador, Canada: A mixed-methods study.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
European guidelines recommend offering an HIV test to individuals who display HIV indicator conditions (ICs). UK guidelines recommend performing a 'routine offer of HIV testing' in primary care where HIV prevalence exceeds 2 in 1000. Implementation of new provider-initiated HIV testing strategies in general practice is limited, while the numbers of undiagnosed and late for care HIV patients remain high. We have explored Dutch general practitioners' barriers to and facilitators of both strategies. We combined semi-structured in-depth interviews with focus groups. Nine general practitioners - key informants of sexually transmitted infection/HIV prevention and control - were selected for the interviews. Additionally, we organised focus groups with a broad sample of general practitioners (n = 81). Framework analysis was used to analyse the data. Various barriers were found, related to (1) the content of the guidelines (testing the right group and competing priorities in general practice), (2) their organisational implementation (lack of time, unclear when to repeat the HIV test and overlong list of ICs) and (3) the patient population (creating fear among patients, stigmatising them and fear regarding financial costs). Multiple general practitioners stated that performing a sexual risk assessment of patients is important before applying either strategy. Also, they recommended implementing the IC-guided approach only in high-prevalence areas and combining HIV tests with other laboratory blood tests. General practitioners tend to cling to old patterns of risk-based testing. Promoting awareness of HIV testing and educating general practitioners about the benefits of new provider-initiated HIV testing strategies is important for the actual uptake of HIV testing.
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