Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Financing Benefits and Barriers to Routine HIV Screening in Clinical Settings: A Scoping review

Version 1 : Received: 18 October 2022 / Approved: 21 October 2022 / Online: 21 October 2022 (03:45:01 CEST)

A peer-reviewed article of this Preprint also exists.

Serag, H.; Clark, I.; Naig, C.; Lakey, D.; Tiruneh, Y.M. Financing Benefits and Barriers to Routine HIV Screening in Clinical Settings in the United States: A Scoping Review. Int. J. Environ. Res. Public Health 2023, 20, 457. Serag, H.; Clark, I.; Naig, C.; Lakey, D.; Tiruneh, Y.M. Financing Benefits and Barriers to Routine HIV Screening in Clinical Settings in the United States: A Scoping Review. Int. J. Environ. Res. Public Health 2023, 20, 457.

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. HIV routine 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 HIV routine 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 in healthcare settings (9 articles); and Cost-effectiveness in healthcare settings (26 articles). The review concluded 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.

Keywords

HIV; routine screening; financial benefits; Opt-out approach

Subject

Public Health and Healthcare, Health Policy and Services

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