PS06-002 Rap Test Algorithm in Non-Trad Test Stes to Improve Linkage to Care

简介(申请人提供)：本建议旨在达到以下目的： 1.评估使用串联和改进的并行快速艾滋病毒检测方法诊断HIV感染者的可行性和成本 2.评估串联和改良并行快速检测对确证检测结果随访的影响 3.评估使用连续和改进的并行艾滋病毒快速检测对与艾滋病毒治疗有关的个人比例的影响 4.与目前的快速检测方案相比，评估使用串联式或改进型并行艾滋病毒快速检测法的障碍和解决方案，以及感知到的优势和劣势，包括客户满意度 艾滋病方案和政策办公室(OAPP)支持努力减少新的艾滋病毒感染人数，并通过使用快速检测试剂盒、合作伙伴咨询和转介服务以及降低风险咨询，通过艾滋病毒咨询和检测来增加知道自己血清状态的个人数量。OAPP继续开发和改进病例发现机会，并通过实施护理点检测来最大限度地提高咨询和检测工作。 OAPP提议推进目前的检测算法和战略，以确定实施当天结果算法的可行性，旨在消除返回确认的检测结果的障碍，并进一步缩短确认的艾滋病毒阳性诊断与医疗联系之间的时间。拟议的研究将建立在上述努力的基础上，通过在两种不同类型的环境中实施快速测试算法：非临床(非传统)和临床站点。此外，我们将测试串行和并行算法，以确定测试的时间效率、易用性、后续工作的损失和获得护理的机会。

DESCRIPTION (provided by applicant): This proposal seeks to achieve the following aims: 1. Evaluate the feasibility and costs of using serial and modified parallel rapid HIV testing to diagnose individuals with HIV infection 2. Assess the impact of using serial and modified parallel rapid HIV testing on confirmatory test result follow-up 3. Assess the impact of using serial and modified parallel rapid HIV testing on the proportion of individuals who are linked to HIV treatment 4. Evaluate the barriers and solutions, as well as the perceived advantages and disadvantages, including client satisfaction, to using serial or modified parallel rapid HIV testing compared to the current rapid testing protocol The Office of AIDS Programs and Policy (OAPP) supports efforts to reduce the number of new HIV infections and to increase the number of individuals who know their serostatus through HIV counseling and testing using rapid testing kits, partner counseling and referral services, and risk reduction counseling. OAPP continues to develop and improve case finding opportunities and maximize counseling and testing efforts through the implementation of point of care testing. OAPP proposes to advance current testing algorithms and strategies to determine the feasibility of implementing a same-day result algorithm intended to eliminate barriers for returning for confirmed test results and to further reduce the time between a confirmed positive HIV-diagnosis and linkage to medical care. The proposed study will build upon the efforts described above by implementing a rapid testing algorithm in two different types of settings: non-clinical (non-traditional) and clinical sites. In addition we will test both serial and parallel algorithms in order to determine testing time efficiency, ease of use, loss to follow-up and access to care.