title: Effective HIV case identification through routine HIV screening at urgent care centers in Massachusetts.
abstract: Think HIV offered HIV counseling, testing, and referral to patients at 4 Massachusetts urgent care centers from January to September 2002. We compared the positive diagnosis yield of Think HIV with that of state-funded HIV counseling, testing, and referral sites. Think HIV found an HIV prevalence of 2.0% compared with 1.9% identified by self-referral testing. Urgent care center-based routine HIV counseling, testing, and referral programs are feasible, can have high positive diagnosis yields, and should be the standard of care in high HIV prevalence areas.
authors.affiliation: Division of General Medicine, Massachusetts General Hospital, 50 Staniford St, 9th Floor, Boston, MA 02114, USA. rwalensky@partners.org
authors.forename: Rochelle P
authors.initials: RP
authors.lastname: Walensky
authors.forename: Elena
authors.initials: E
authors.lastname: Losina
authors.forename: Laureen
authors.initials: L
authors.lastname: Malatesta
authors.forename: George E
authors.initials: GE
authors.lastname: Barton
authors.forename: Catherine A
authors.initials: CA
authors.lastname: O'Connor
authors.forename: Paul R
authors.initials: PR
authors.lastname: Skolnik
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Hall
authors.forename: Jean F
authors.initials: JF
authors.lastname: McGuire
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Freedberg
mesh_terms: D000328:Adult; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D015995:Prevalence; D011634:Public Health / Q000379:methods*; D012017:Referral and Consultation; D012725:Sexual Behavior