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Evaluation of the Sustainability of an Intervention to Increase HIV Testing

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dc.contributor.author Goetz, Matthew Bidwell en_US
dc.contributor.author Hoang, Tuyen en_US
dc.contributor.author Henry, S. Randal en_US
dc.contributor.author Knapp, Herschel en_US
dc.contributor.author Anaya, Henry D. en_US
dc.contributor.author Gifford, Allen L. en_US
dc.contributor.author Asch, Steven M. en_US
dc.date.accessioned 2012-01-09T20:57:34Z
dc.date.available 2012-01-09T20:57:34Z
dc.date.issued 2009-10-2 en_US
dc.identifier.citation Goetz, Matthew Bidwell, Tuyen Hoang, S. Randal Henry, Herschel Knapp, Henry D. Anaya, Allen L. Gifford, Steven M. Asch. "Evaluation of the Sustainability of an Intervention to Increase HIV Testing" Journal of General Internal Medicine 24(12): 1275-1280. (2009) en_US
dc.identifier.issn 1525-1497 en_US
dc.identifier.uri http://hdl.handle.net/2144/2925
dc.description.abstract BACKGROUND Sustainability—the routinization and institutionalization of processes that improve the quality of healthcare—is difficult to achieve and not often studied. OBJECTIVE To evaluate the sustainability of increased rates of HIV testing after implementation of a multi-component intervention in two Veterans Health Administration healthcare systems. DESIGN Quasi-experimental implementation study in which the effect of transferring responsibility to conduct the provider education component of the intervention from research to operational staff was assessed. PATIENTS Persons receiving healthcare between 2005 and 2006 (intervention year) and 2006 and 2007 (sustainability year). MEASUREMENTS Monthly HIV testing rate, stratified by frequency of clinic visits RESULTS The monthly adjusted testing rate increased from 2% at baseline to 6% at the end intervention year and then declined reaching 4% at the end of the sustainability year. However, the stratified, visit-specific testing rate for persons newly exposed to the intervention (i.e., having their first through third visits during the study period) increased throughout the intervention and sustainability years. Increases in the proportion of visits by patients who remained untested despite multiple, prior exposures to the intervention accounted for the aggregate attenuation of testing during the sustainability year. Overall, the percentage of patients who received an HIV test in the sustainability year was 11.6%, in the intervention year 11.1%, and in the pre-intervention year 5.0% CONCLUSIONS Provider education combined with informatics and organizational support had a sustainable effect on HIV testing rates. The effect was most pronounced during patients' early contacts with the healthcare system. en_US
dc.description.sponsorship Health Services Research & Development Service (SDP 06–001) en_US
dc.language.iso en en_US
dc.publisher Springer-Verlag en_US
dc.rights Copyright Goetz et al. 2009 en_US
dc.subject HIV testing en_US
dc.subject Provider education en_US
dc.subject Sustainability en_US
dc.subject VA hospitals en_US
dc.title Evaluation of the Sustainability of an Intervention to Increase HIV Testing en_US
dc.type article en_US
dc.identifier.doi 10.1007/s11606-009-1120-8 en_US
dc.identifier.pubmedid 19798538 en_US
dc.identifier.pmcid 2787938 en_US


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