Provider-initiated HIV testing and counseling
Key take-home messages
- Very few studies have comprehensively investigated patient perceptions of PITC. There are no data currently available on the sustainable effects of PITC on: reducing HIV incidence (i.e., the long-term impact of the counseling received); or increasing earlier entry into care.
- There are varied opinions on the efficacy of abbreviated counseling procedures in reducing HIV risk behaviours.
- Patients and providers generally support opt-out testing, but recommend that this testing include effective communication of HIV and testing information, as well as a client-centered counseling approach.
- PITC with rapid tests in general health care settings has mostly been shown to be economically feasible in the US.
The Ontario HIV Treatment Network: Rapid Response Service