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Financing Benefits and Barriers to Routine HIV Screening in Clinical Settings in the United States: A Scoping Review

Author

Listed:
  • Hani Serag

    (Department of International Medicine, School of Medicine, University of Texas Medical Branch (UTMB), Galveston, TX 77555, USA)

  • Isabel Clark

    (HIV/STD Prevention & Care Unit, Texas Department of State Health Services, Austin, TX 78714, USA)

  • Cherith Naig

    (MPH Program, School of Public and Population Health, University of Texas Medical Branch (UTMB), Galveston, TX 77555, USA)

  • David Lakey

    (Administration Division, University of Texas System, Austin, TX 78701, USA)

  • Yordanos M. Tiruneh

    (Department of Preventive Medicine and Population Health, School of Medicine, University of Texas Tyler, Tyler, TX 75799, USA
    Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA)

Abstract

The Centers for Disease Control and Prevention recommends everyone between 13–64 years be tested for HIV at least once as a routine procedure. Routine HIV screening is reimbursable by Medicare, Medicaid, expanded Medicaid, and most commercial insurance plans. Yet, scaling-up HIV routine screening remains a challenge. We conducted a scoping review for studies on financial benefits and barriers associated with HIV screening in clinical settings in the U.S. to inform an evidence-based strategy to scale-up routine HIV screening. We searched Ovid MEDLINE ® , Cochrane, and Scopus for studies published between 2006–2020 in English. The search identified 383 Citations; we screened 220 and excluded 163 (outside the time limit, irrelevant, or outside the U.S.). Of the 220 screened articles, we included 35 and disqualified 155 (did not meet the eligibility criteria). We organized eligible articles under two themes: financial benefits/barriers of routine HIV screening in healthcare settings (9 articles); and Cost-effectiveness of routine screening in healthcare settings (26 articles). The review concluded drawing recommendations in three areas: (1) Finance: Incentivize healthcare providers/systems for implementing HIV routine screening and/or separate its reimbursement from bundle payments; (2) Personnel: Encourage nurse-initiated HIV screening programs in primary care settings and educate providers on CDC recommendations; and (3) Approach: Use opt-out approach.

Suggested Citation

  • Hani Serag & Isabel Clark & Cherith Naig & David Lakey & Yordanos M. Tiruneh, 2022. "Financing Benefits and Barriers to Routine HIV Screening in Clinical Settings in the United States: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:457-:d:1016898
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    References listed on IDEAS

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    2. Hoenigl, Martin & Graff-Zivin, Joshua & Little, Susan J, 2016. "Costs per Diagnosis of Acute HIV Infection in Community-based Screening Strategies: A Comparative Analysis of Four Screening Algorithms," University of California at San Diego, Economics Working Paper Series qt9zp2x018, Department of Economics, UC San Diego.
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    6. Lauren E Cipriano & Gregory S Zaric & Mark Holodniy & Eran Bendavid & Douglas K Owens & Margaret L Brandeau, 2012. "Cost Effectiveness of Screening Strategies for Early Identification of HIV and HCV Infection in Injection Drug Users," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-14, September.
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