Implementation and Evaluation of an Electronic Alert to Encourage Targeted Screening for HIV Infection at Foch Hospital According to Socio-demographic Criteria: Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Hopital Foch
- 入组人数
- 297
- 试验地点
- 1
- 主要终点
- Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient hospitalized at Foch Hospital over 18 years of age.
- •Patient with AME or CMU and/or CMUc, or patient born in one of the following countries/regions: Sub-Saharan Africa, Haiti, South America, Asia, Eastern Europe, Guadeloupe, Martinique and Guyana
排除标准
- •Patient whose vital prognosis at the time of admission does not allow him/her to indicate his/her non-opposition to an HIV test.
- •Patient being followed for a known HIV infection.
研究组 & 干预措施
period 1
Period 1: Retrospective period:
Collection of data from the 12 months preceding the start of the research of hospitalized patients:
- number of hospitalizations,
- number of HIV serologies performed,
- number of patients with socio-demographic criteria justifying HIV screening.
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:
- Patient accept to participate: patient is include and receive HIV serology during their hospitalization.
- Not time to answer to the alert
- Patient already has a serology less than 3 months old
- Patient followed for a known HIV infection.
- Patient who refused the test
- Clinical condition of the patient not allowing his no opposition Only choice 1 include patient The response close the electronic alert, but it re-opens when the medical file is re-consulted (2/ and 6/) or new hospitalization.
干预措施: "POP-UP" electronic alert (Other)
period 1
Period 1: Retrospective period:
Collection of data from the 12 months preceding the start of the research of hospitalized patients:
- number of hospitalizations,
- number of HIV serologies performed,
- number of patients with socio-demographic criteria justifying HIV screening.
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:
- Patient accept to participate: patient is include and receive HIV serology during their hospitalization.
- Not time to answer to the alert
- Patient already has a serology less than 3 months old
- Patient followed for a known HIV infection.
- Patient who refused the test
- Clinical condition of the patient not allowing his no opposition Only choice 1 include patient The response close the electronic alert, but it re-opens when the medical file is re-consulted (2/ and 6/) or new hospitalization.
干预措施: Serology HIV (Diagnostic Test)
结局指标
主要结局
Evaluation of HIV testing practices : screening proposal rate, patient acceptance rate and serological achievement rate
时间窗: 18 months
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).
次要结局
- Newly HIV+(18 months)
- Study of the obstacles(18 months)
- Prospective data vs retrospective data : number of screening serologies performed(18 months)
- Positivity rate(18 months)