Dataset Information

Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.

ABSTRACT:

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.

SUBMITTER: Bagchi AD

PROVIDER: S-EPMC7322815 | biostudies-literature | 2020 Jan-Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.

Bagchi Ann Dalton AD Davis Tracy T

Journal of the International Association of Providers of AIDS Care 20200101

<h4>Background</h4>Routine HIV screening rates are suboptimal.<h4>Objectives</h4>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.<h4>Data sources</h4>Included articles were indexed in PubMed, EBSCO CINAHL, Scopus, Web of Science, and the Cochrane Library between 2006 and October 2018.<h4>Eligibility criteria</h4>Included studies were publ ...[more]

PMID: 32588712

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Project description:BACKGROUND:Health care providers are adopting information and communication technologies (ICTs) to enhance their services. Telemedicine is one of the services that rely heavily on ICTs to enable remote patients to communicate with health care professionals; in this case, the patient communicates with the health care professional for a follow-up or for a consultation about his or her health condition. This communication process is referred to as an e-consultation. In this paper, telemedicine services refer to health care services that use ICTs, which enable patients to share, transfer, and communicate data or information in real time (ie, synchronous) from their home with a care provider-normally a physician-at a clinical site. However, the use of e-consultation services can be positively or negatively influenced by external or internal factors. External factors refer to the environment surrounding the system as well as the system itself, while internal factors refer to user behavior and motivation. OBJECTIVE:This review aims to investigate the barriers and the facilitators that influence the use of home consultation systems in the health care context. This review also aims to identify the effectiveness of Home Online Health Consultation (HOHC) systems in improving patients' health as well as their satisfaction with the systems. METHODS:We conducted a systematic literature review to search for articles-empirical studies-about online health consultation in four digital libraries: Scopus, Association for Computing Machinery, PubMed, and Web of Science. The database search yielded 2518 articles; after applying the inclusion and exclusion criteria, the number of included articles for the final review was 45. A qualitative content analysis was performed to identify barriers and facilitators to HOHC systems, their effectiveness, and patients' satisfaction with them. RESULTS:The systematic literature review identified several external and internal facilitators and barriers to HOHC systems that were used in the creation of a HOHC framework. The framework consists of four requirements; the framework also consists of 17 facilitators and eight barriers, which were further categorized as internal and external influencers on HOHC. CONCLUSIONS:Patients from different age groups and with different health conditions benefited from remote health services. HOHC via video conferencing was effective in delivering online treatment and was well-accepted by patients, as it simulated in-person, face-to-face consultation. Acceptance by patients increased as a result of online consultation facilitators that promoted effective and convenient remote treatment. However, some patients preferred face-to-face consultation and showed resistance to online consultation. Resistance to online consultation was influenced by some of the identified barriers. Overall, the framework identified the facilitators and barriers that positively and negatively influenced the uptake of HOHC systems, respectively.

Dataset Information

Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.

Background

Objectives

Data sources

Eligibility criteria

Data extraction

Data synthesis

Limitations

Conclusions

Publications

Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.

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