Background: Despite increased efforts to promote HIV screening, a large proportion of the US population have never been tested for HIV.
Objective: To determine whether provider education and personalised HIV screening report cards can increase HIV screening rates within a large integrated healthcare system.
Design: This quality improvement study provided a cohort of primary care physicians (PCPs) a brief educational intervention and personalised HIV screening report cards with quarterly performance data.
Participants: Participants included a volunteer cohort of 20 PCPs in the department of adult and family medicine.
Main Measures: Per cent of empaneled patients screened for HIV by cohort PCPs compared with PCPs at the Kaiser Permanente Oakland Medical Center (KPOAK) and the non-Oakland Medical Centers in Northern California region (Kaiser Permanente Northern California (KPNC)).
Key Results: Of the 20 participating PCPs, 13 were female and 7 were male. Thirteen were internal medicine and seven family medicine physicians. The average age was 40 years and average practice experience was 9 years after residency. During the 12-month intervention, the estimated increase in HIV screening in the cohort PCP group was 2.6% as compared with 1.9% for KPOAK and 1.8% for KPNC.
Conclusions: These findings suggest that performance-related report cards are associated with modestly increased rates of HIV screening by PCPs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7797258 | PMC |
| http://dx.doi.org/10.1136/bmjoq-2020-000988 | DOI Listing |
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