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Consent Policies and Rates of HIV Testing—Reply
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In Reply: Dr Girardi and colleagues note that in their medical setting an administrative policy change was associated with increased HIV testing but no change in the number of HIV cases identified. This is in contrast with our finding that an administrative policy change was associated with both an increase in HIV testing and in the number of HIV cases identified. Whether an administrative policy change affects HIV case finding depends on the risk characteristics of the population that undergoes increased testing and whether or not those administrative changes make it easier for high-risk persons to get tested. In our setting, an urban hospital, making testing easier was associated with a significant and meaningful effect. To know whether similar results would be observed elsewhere requires persons in those settings to identify potential administrative barriers, implement relevant policy changes, and monitor the impact of those changes.
Given the importance of identifying . . . [Full Text of this Article]
Jeffrey D. Klausner, MD, MPH
jeff.klausner@sfdph.org
San Francisco Department of Public Health
San Francisco, Calif
Nicola Zetola, MD
Department of Medicine
University of California
San Francisco
Mitchell H. Katz, MD
San Francisco Department of Public Health
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RELATED LETTER
Consent Policies and Rates of HIV Testing
Enrico Girardi, Vincenzo Puro, Gabriella De Carli, Nicoletta Orchi, and Giuseppe Ippolito
JAMA. 2007;297(22):2478-2479.
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