In 2013 in France, 29,000 people are reported to be unaware of their HIV status. HIV testing is a priority in France where one third of all diagnoses remain late despite 5 million annual tests. It is recommended to offer at least one HIV test to the general population, over the life course, when seeking care and more frequently to populations at risk. Several international and national articles have shown that emergency screening is feasible and well accepted. But also that during systematic screening few infections were discovered, and the majority of newly diagnosed people belonged to the most exposed groups. Our hypothesis is that an electronic alert would identify people who are unaware of their HIV status. This alert would be based on two data: social data (French health coverage) and the country of birth. This alert is only relevant in high-prevalence regions, as is the case in the Ile de France region.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
297
Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria
Realization of HIV serology for included patients.
Hopital Foch
Suresnes, France
Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate
Evaluation of the practice of hospital doctors at Foch Hospital following the implementation of "POP-UP" electronic alert to encourage targeted screening for HIV infection according to specific socio-demographic criteria : * Screening proposal rate (= number of proposition compared to number of eligible patients). * Patient acceptance rate (= number of eligible patients acceptances compared to number of screening proposals). * Serological achievement rate (= number of serologies compared to number of eligible patients).
Time frame: 18 months
Study of the obstacles
Study of the obstacles encountered by clinicians in proposing screening tests induced by electronic alerting by questionnaire of satisfaction.
Time frame: 18 months
Prospective data vs retrospective data : number of screening serologies performed
Comparison of the number of screening serologies performed in eligible inpatients by the POP-UP" electronic alert versus the retrospective data of the 12 months preceding the implementation of the alert .
Time frame: 18 months
Newly HIV+
Number of hospitalized patients newly diagnosed HIV
Time frame: 18 months
Positivity rate
Number of newly diagnosed HIV vs the number of serologies performed
Time frame: 18 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.