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.
Authors
Bagchi AD, Davis, T
Year
2020
Topics
- Determinants of Health
- Stigma/discrimination
- Population(s)
- General HIV- population
- Testing
- Testing