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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| period 1 | Experimental | Period 1: Retrospective period: Collection of data from the 12 months preceding the start of the research of hospitalized patients:
Start of research: Implementation of the "POP-UP" electronic alert Period 2: Prospective period: 18 months POP-UP opens for patient who meet the eligibility criteria. Six possibility to answer:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| "POP-UP" electronic alert | Other | Implementation of the "POP-UP" electronic alert for all patients with eligibility criteria |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 :
| 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Study of the obstacles | Study of the obstacles encountered by clinicians in proposing screening tests induced by electronic alerting by questionnaire of satisfaction. | 18 months |
| Prospective data vs retrospective data : number of screening serologies performed |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Zucman, MD | FOCH Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Foch | Suresnes | 92150 | France |
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| Serology HIV | Diagnostic Test | Realization of HIV serology for included patients. |
|
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 . |
| 18 months |
| Newly HIV+ | Number of hospitalized patients newly diagnosed HIV | 18 months |
| Positivity rate | Number of newly diagnosed HIV vs the number of serologies performed | 18 months |
| ID | Term |
|---|---|
| D015492 | AIDS Serodiagnosis |
| ID | Term |
|---|---|
| D012698 | Serologic Tests |
| D007159 | Immunologic Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D000082922 | HIV Testing |
| D008828 | Microbiological Techniques |
| D008919 | Investigative Techniques |
| D007158 | Immunologic Techniques |
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