J Telemed Telecare - An emergency department registration kiosk can increase HIV screening in high risk patients.

Tópicos

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Resumo

We evaluated the feasibility and the patient acceptability of integrating a kiosk into routine emergency department (ED) practice for offering HIV testing. The work was conducted in four phases: phase 1 was a baseline, in which external testing staff offered testing at the bedside; phase 2 was a pilot assessment of a prototype kiosk; phase 3 was a pilot implementation and phase 4 was the full implementation with automated login. Feasibility was assessed by the proportion of offering HIV tests, acceptance, completion and result reporting. During the study period, the number of ED patients and eligible patients for screening were similar in the three main phases. However, the number and proportion of patients offered testing of those eligible for screening increased significantly from phase 1 (32%) to phase 3 (37%) and phase 4 (40%). There were slightly higher prevalences of newly diagnosed HIV with kiosk versus bedside testing (phase 1, 0%; phase 3, 0.2%; phase 4, 0.5%). Compared to patients tested at the bedside, patients tested via the kiosk were significantly younger, more likely to be female, to be black, and to report high risk behaviours. ED-based HIV screening via a registration-based kiosk was feasible, yielded similar proportions of testing, and increased the proportion of engagement of higher-risk patients in testing.

Resumo Limpo

evalu feasibl patient accept integr kiosk routin emerg depart ed practic offer hiv test work conduct four phase phase baselin extern test staff offer test bedsid phase pilot assess prototyp kiosk phase pilot implement phase full implement autom login feasibl assess proport offer hiv test accept complet result report studi period number ed patient elig patient screen similar three main phase howev number proport patient offer test elig screen increas signific phase phase phase slight higher preval newli diagnos hiv kiosk versus bedsid test phase phase phase compar patient test bedsid patient test via kiosk signific younger like femal black report high risk behaviour edbas hiv screen via registrationbas kiosk feasibl yield similar proport test increas proport engag higherrisk patient test

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