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Perceived Barriers and Facilitators to Routine HIV Screening/Testing in Primary Care Settings among Healthcare Providers in the Southeastern United States: A Systematic Review of the Literature

Year: 2019
Type: review
Study design: Systematic Review
Abstract: Background. In 2006 the Centers for Disease Control and Prevention implemented new recommendations for routine HIV screening and testing to be conducted in medical settings outside of STD/HIV clinics on all patients aged 13-64 regardless of perceived risk. Despite ongoing efforts to improve HIV screening and testing, many settings are not following these guidelines. In addition, the southeastern United States is disproportionately affected by HIV. Purpose. The purpose of this project was to describe health care providers’ perceived barriers and facilitators to universal screening and testing for HIV at poorly utilized/novel testing sites in the southeastern US through a review of the literature, and to develop recommendations for future research, practice, and policy. Methods. I conducted a review of the literature of perceived barriers and facilitators to routine HIV testing among health care providers in February, 2016 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Identified barriers and facilitators were coded and organized into levels of the Ecological Model of Health Promotion. Results. Perceived barriers and facilitators were identified at the societal, organizational, and individual level including federal/state policy, protocol constraints, and provider beliefs/characteristics. The information from this paper may help guide future research and interventions to improve adherence to CDC recommendations.
DOI: 10.17615/mz3v-zp69
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W2950087651
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Related to: 10