HIV screening and linkage to care in a health department in Valencia, Spain: Lessons learned from a healthcare quality improvement project

Ortega-González, E; Martínez-Roma, María; Ocete, María Dolores; Jimeno, Concepción; Fornos, Antonio; Esteban, Amparo Cano; Martínez, Magdalena; Valero, Carmen; Gómez-Muñoz, Neus; Carrodeguas, Alba; Medina, Diogo; García-Deltoro, Miguel

doi:10.1097/md.0000000000030400

Cited by 3 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this initiative, the person only signs a consent if he or she does not agree with the HIV test (opt out). [12] In contrast, Decree 158/04 on compulsory notification of notifiable communicable infectious diseases is another Chilean regulation that had a negative impact on the timely diagnosis of HIV, which requires that all HIV cases diagnosed in the country must be confirmed in a single laboratory at the Institute of Public Health. [13] This strategy has become a major obstacle to early diagnosis and has caused delays in timely notification of HIV status.…”

Section: Change In Current Legislationmentioning

confidence: 99%

See 1 more Smart Citation

The challenges of Chile to achieve control the HIV/AIDS pandemic the year 2030: A review

Ferrer Campos

2024

Medicine

View full text Add to dashboard Cite

Chile is contending with the highest rates of new human immunodeficiency virus (HIV) cases in both Latin America and globally, despite substantial ongoing investments in treatment. This comprehensive study, derived from PUBMED and Google searches, ANID data, and various organizational reports, highlights key areas for improvement. Over the past decade, Chile’s annual infection rate has risen, signaling an urgent need for detailed analysis and effective solutions. The study includes 44 references, comprising 32 scientific articles and 12 reports from entities like the WHO and the Pan American Health Organization. Data was meticulously collected through diverse means, such as scientific congresses, meetings with authorities, and direct data requests. Fourteen critical points are identified for addressing the HIV epidemic in Chile, spanning from legislative reforms to enhanced prevention campaigns. Key recommendations include universal diagnosis, decentralized healthcare, the availability of self-tests, and a focus on mental health and the impact of migration. Despite Chile’s strong economic indicators, factors such as inadequate sexual education, outdated legislation, and centralized diagnostic processes contribute to the persistent increase in new cases. The study underscores the pressing need for enhanced investment in prevention policies. Chile faces significant challenges in meeting the 90/90/90 targets, yet there is optimism in aiming for the 95/95/95 strategy by 2030. Achieving success requires a global commitment, an emphasis on prevention, and collaborative efforts among authorities, healthcare providers, and patients. Overcoming these identified barriers is essential for Chile to reach its ambitious goal and ultimately end the HIV epidemic.

show abstract

Section: Change In Current Legislationmentioning

confidence: 99%

“…In this initiative, the person only signs a consent if he or she does not agree with the HIV test ( opt out ). [ 12 ]…”

Section: Change In Current Legislationmentioning

confidence: 99%

The challenges of Chile to achieve control the HIV/AIDS pandemic the year 2030: A review

Ferrer Campos

2024

Medicine

View full text Add to dashboard Cite

show abstract

Reassessing HIV Detection Strategies: An Analysis of Opportunistic Screening vs. Indicator-Condition-Driven Diagnosis in Valencia, Spain

Ortega,

Ocete,

Martínez-Roma

et al. 2024

J Community Health

View full text Add to dashboard Cite

Our study assessed the characteristics of people living with HIV (PLWH) detected via opportunistic screening in Valencia (Spain) to determine diagnoses potentially missed under a more restrictive, indicator-condition diagnostic strategy. We conducted a retrospective analysis of electronic health records of 97 PLWH diagnosed between April 2019 and August 2022. The main outcomes reported were patient CD4+ T cell count, known HIV risk factors at diagnosis, and missed opportunities for diagnosis, defined as the failure of a previously untested patient to undergo HIV testing despite attending previous visits to healthcare facilities prior to diagnosis. Successful linkage to care was achieved for 95.9% of diagnosed patients. Half of the PLWH were diagnosed late, while 47.8% did not meet the criteria for indicator-condition-driven HIV diagnosis at the time of their diagnosis. Additionally, 52.2% did not receive HIV testing despite an average of 5.1 ± 6.0 healthcare visits in the 12 months prior to diagnosis. Spaniards had more missed opportunities for diagnosis than foreigners (64% vs. 40%, p = 0.02). Depending solely on an indicator-condition-driven HIV diagnosis approach could result in 47.8% of cases being missed. Including “migrants” as a testing criterion could lower missed diagnoses to 25.3% but might create inequities in prevention access. In conclusion, our findings provide valuable insights to enhance HIV testing, early diagnosis, and linkage to care. While it is crucial to uphold the indicator-condition-driven HIV diagnosis as baseline practice, improving screening strategies will decrease late diagnoses and missed opportunities, thereby effectively contributing to end the epidemic.

show abstract

Opportunistic population screening as a hepatitis elimination strategy: the CRIVALVIR-FOCUS program

Ortega González,

Ocete Mochón,

Gimeno Cardona

et al. 2024

International Journal of Infectious Diseases

View full text Add to dashboard Cite

HIV screening and linkage to care in a health department in Valencia, Spain: Lessons learned from a healthcare quality improvement project

Cited by 3 publications

References 19 publications

The challenges of Chile to achieve control the HIV/AIDS pandemic the year 2030: A review

The challenges of Chile to achieve control the HIV/AIDS pandemic the year 2030: A review

Reassessing HIV Detection Strategies: An Analysis of Opportunistic Screening vs. Indicator-Condition-Driven Diagnosis in Valencia, Spain

Opportunistic population screening as a hepatitis elimination strategy: the CRIVALVIR-FOCUS program

Contact Info

Product

Resources

About