ArticleBMC health services research2018
Use of an electronic medical record reminder improves HIV screening.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acceptance of Opt-Out HIV Screening in Outpatient Settings in the United States: A Systematic Review and Meta-Analysis.Public health reports (Washington, D.C. : 1974)Pooled it
- Efficacy of the mLab App: a randomized clinical trial for increasing HIV testing uptake using mobile technology.Journal of the American Medical Informatics Association : JAMIA · 2025Trial
- Leveraging Clinical Decision Support in Dental Settings to Bridge HIV Testing Gaps and Contribute to Ending the Epidemic.ACI open · 2025Article
- A Cross-Sectional Review of HIV Screening in High-Acuity Emergency Department Patients: A Missed Opportunity.The western journal of emergency medicine · 2024Article
- Increasing pre-exposure prophylaxis (PrEP) in primary care: A study protocol for a multi-level intervention using the multiphase optimization strategy (MOST) framework.Contemporary clinical trials · 2024Article
- Making Sense of the Nonalcoholic Fatty Liver Disease Clinical Practice Guidelines: What Clinicians Need to Know.Diabetes spectrum : a publication of the American Diabetes Association · 2024Article
- Ethnicity, Language, and HIV Screening in Older Adult Safety-Net Patients.American journal of preventive medicine · 2023Article
- Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project.BMC health services research · 2022Article
- Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review.JMIR medical informatics · 2022Article
- Estimating Gains in HIV Testing by Expanding HIV Screening at Routine Checkups.American journal of public health · 2021Article
- Technology-Delivered Intervention Strategies to Bolster HIV Testing.Current HIV/AIDS reports · 2021Review
- Using a report card to increase HIV screening in a large primary care group practice.BMJ open quality · 2021Article
- Electronic medical record alert activation increase hepatitis C and HIV screening rates in primary care practices within a large healthcare system.Preventive medicine reports · 2020Article
- Risk factors for treatment non-completion among patients with syphilis.Therapeutic advances in infectious diseaseArticle
- Improved Implementation of Tumor Board Decisions: A Retrospective Single Center Observational Study in Germany.In vivo (Athens, Greece)Observational
- Exploring Primary Care Clinicians' Sexual and Reproductive Health Care Delivery to Male Adolescents and Young Adults.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMore than 1 in 7 patients with human immunodeficiency virus (HIV) infection in the United States are unaware of their serostatus despite recommendations of US agencies that all adults through age 65 be screened for HIV at least once. To facilitate universal screening, an electronic medical record (EMR) reminder was created for our primary care practice. Screening rates before and after implementation were assessed to determine the impact of the reminder on screening rates.
methodsA retrospective cohort analysis was performed for patients age 18-65 with visits between January 1, 2012-October 30, 2014. EMR databases were examined for HIV testing and selected patient characteristics. We evaluated the probability of HIV screening in unscreened patients before and after the reminder and used a multivariable generalized linear model to test the association between likelihood of HIV testing and specific patient characteristics.
resultsPrior to the reminder, the probability of receiving an HIV test for previously unscreened patients was 15.3%. This increased to 30.7% after the reminder (RR 2.02, CI 1.95-2.09, p < 0.0001). The impact was most significant in patients age 45-65. White race, English as primary language, and higher median household income were associated with lower likelihoods of screening both before and after implementation (RR 0.68, CI 0.65-0.72; RR 0.74, CI 0.67-0.82; RR 0.84, CI 0.80-0.88, respectively).
conclusionsThe EMR reminder increased rates of HIV screening twofold in our practice. It was most effective in increasing screening rates in older patients. Patients who were white, English-speaking, and had higher incomes were less likely to be screened for HIV both before and after the reminder.
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