Timing Matters: HIV Testing Rates in the Emergency Department
Study Objectives. In response to the 2010 New York State HIV testing law, we sought to understand the contextual factors that influence HIV testing rates in the emergency department (ED). Methods. We analyzed electronic health record logs from 97,655 patients seen in three EDs in New York City. We u...
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Wiley
2014-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/575130 |
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| _version_ | 1832556604211331072 |
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| author | Rebecca Schnall Nan Liu |
| author_facet | Rebecca Schnall Nan Liu |
| author_sort | Rebecca Schnall |
| collection | DOAJ |
| description | Study Objectives. In response to the 2010 New York State HIV testing law, we sought to understand the contextual factors that influence HIV testing rates in the emergency department (ED). Methods. We analyzed electronic health record logs from 97,655 patients seen in three EDs in New York City. We used logistic regression to assess whether time of day, day of the week, and season significantly affected HIV testing rates. Results. During our study period, 97,655 patients were evaluated and offered an HIV test. Of these, 7,763 (7.9%) agreed to be tested. Patients arriving between 6 a.m. and 7:59 p.m. were significantly (P<0.001) more likely to be tested for HIV, followed by patients arriving between 8:00 p.m. and 9:59 p.m. (P<0.01) and followed by patients arriving between 5–5:59 a.m. and 10–10:59 p.m. (P<0.05) compared to patients arriving at midnight. Seasonal variation was also observed, where patients seen in July, August, and September (P<0.001) were more likely to agree to be tested for HIV compared to patients seen in January, while patients seen in April and May (P<0.001) were less likely to agree to be tested for HIV. Conclusion. Time of day and season affect HIV testing rates in the ED, along with other factors such as patient acuity and completion of other blood work during the ED visit. These findings provide useful information for improving the implementation of an HIV testing program in the ED. |
| format | Article |
| id | doaj-art-38b6d8a58a2a4912961b496160a0065b |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-38b6d8a58a2a4912961b496160a0065b2025-02-03T05:44:56ZengWileyNursing Research and Practice2090-14292090-14372014-01-01201410.1155/2014/575130575130Timing Matters: HIV Testing Rates in the Emergency DepartmentRebecca Schnall0Nan Liu1School of Nursing, Columbia University, New York, NY 10032, USADepartment of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USAStudy Objectives. In response to the 2010 New York State HIV testing law, we sought to understand the contextual factors that influence HIV testing rates in the emergency department (ED). Methods. We analyzed electronic health record logs from 97,655 patients seen in three EDs in New York City. We used logistic regression to assess whether time of day, day of the week, and season significantly affected HIV testing rates. Results. During our study period, 97,655 patients were evaluated and offered an HIV test. Of these, 7,763 (7.9%) agreed to be tested. Patients arriving between 6 a.m. and 7:59 p.m. were significantly (P<0.001) more likely to be tested for HIV, followed by patients arriving between 8:00 p.m. and 9:59 p.m. (P<0.01) and followed by patients arriving between 5–5:59 a.m. and 10–10:59 p.m. (P<0.05) compared to patients arriving at midnight. Seasonal variation was also observed, where patients seen in July, August, and September (P<0.001) were more likely to agree to be tested for HIV compared to patients seen in January, while patients seen in April and May (P<0.001) were less likely to agree to be tested for HIV. Conclusion. Time of day and season affect HIV testing rates in the ED, along with other factors such as patient acuity and completion of other blood work during the ED visit. These findings provide useful information for improving the implementation of an HIV testing program in the ED.http://dx.doi.org/10.1155/2014/575130 |
| spellingShingle | Rebecca Schnall Nan Liu Timing Matters: HIV Testing Rates in the Emergency Department Nursing Research and Practice |
| title | Timing Matters: HIV Testing Rates in the Emergency Department |
| title_full | Timing Matters: HIV Testing Rates in the Emergency Department |
| title_fullStr | Timing Matters: HIV Testing Rates in the Emergency Department |
| title_full_unstemmed | Timing Matters: HIV Testing Rates in the Emergency Department |
| title_short | Timing Matters: HIV Testing Rates in the Emergency Department |
| title_sort | timing matters hiv testing rates in the emergency department |
| url | http://dx.doi.org/10.1155/2014/575130 |
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