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

说明（由申请人提供）：本提案旨在实现以下目标： 1.评估使用系列和改良的平行快速艾滋病毒检测诊断艾滋病毒感染者的可行性和成本 2.评估使用系列和改良平行HIV快速检测对确认性检测结果随访的影响 3.评估使用系列和改良的平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.评价与目前的快速检测方案相比，使用系列或改良的平行快速艾滋病毒检测的障碍和解决方案，以及感知的优势和劣势，包括客户满意度 艾滋病方案和政策办公室（OAPP）支持通过艾滋病毒咨询和使用快速检测试剂盒进行检测、伴侣咨询和转诊服务以及减少风险咨询，努力减少新的艾滋病毒感染人数，增加了解自身血清状况的人数。OAPP继续开发和改善病例发现机会，并通过实施护理点检测，最大限度地加强咨询和检测工作。 该办公室建议改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，该算法旨在消除返回获得确认检测结果的障碍，并进一步缩短确认艾滋病毒阳性诊断与医疗联系之间的时间。拟议的研究将在上述努力的基础上，在两种不同类型的环境中实施快速检测算法：非临床（非传统）和临床研究中心。此外，我们将测试串行和并行算法，以确定测试时间效率、易用性、失访和获得护理。

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.