Show simple item record

dc.contributor.authorGoetz, Matthew Bidwellen_US
dc.contributor.authorHoang, Tuyenen_US
dc.contributor.authorHenry, S. Randalen_US
dc.contributor.authorKnapp, Herschelen_US
dc.contributor.authorAnaya, Henry D.en_US
dc.contributor.authorGifford, Allen L.en_US
dc.contributor.authorAsch, Steven M.en_US
dc.date.accessioned2012-01-09T20:57:34Z
dc.date.available2012-01-09T20:57:34Z
dc.date.issued2009-10-2en_US
dc.identifier.citationGoetz, 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.issn1525-1497en_US
dc.identifier.urihttp://hdl.handle.net/2144/2925
dc.description.abstractBACKGROUND 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.sponsorshipHealth Services Research & Development Service (SDP 06–001)en_US
dc.language.isoenen_US
dc.publisherSpringer-Verlagen_US
dc.rightsCopyright Goetz et al. 2009en_US
dc.subjectHIV testingen_US
dc.subjectProvider educationen_US
dc.subjectSustainabilityen_US
dc.subjectVA hospitalsen_US
dc.titleEvaluation of the Sustainability of an Intervention to Increase HIV Testingen_US
dc.typearticleen_US
dc.identifier.doi10.1007/s11606-009-1120-8en_US
dc.identifier.pubmedid19798538en_US
dc.identifier.pmcid2787938en_US


Files in this item

This item appears in the following Collection(s)

Show simple item record