Table 3 Themes for increasing HIV screening without assured additional funding for linkage to care

Theme: Broadens the population, setting, and scope of testing, making testing more widely available

Theme: Adds to the burden of an HIV diagnosis

Sub-theme: Further expands social, physical, emotional, psychological, and financial burdens of HIV

Sub-theme: Identifies infections earlier

Sub-subtheme: Helps promote better disease management

Sub-theme: Increases stigma and discrimination

Sub-subtheme: Informs patients of their health care status

Sub-theme: Further expands social, physical, emotional, psychological, and financial burdens of HIV

Sub-subtheme: Helps patients advocate for their health care needs

Sub-theme: Further disenfranchises vulnerable people

Sub-theme: Ultimately, allows more patients to receive treatment

Sub-theme: Increases opportunities for self-harm, self-destructive behaviors health

Sub-subtheme: Increases advocacy for improved access to HIV care

Theme: Emphasizes testing at expense of treatment

Sub-theme: Identifies more infections

Theme: Facilitates HIV prevention

Sub-theme: Decreases HIV risk-taking behavior

Sub-theme: Improves patient knowledge of their HIV status

Sub-theme: Disenfranchises/devalues vulnerable populations

Sub-theme: Discriminates against HIV

Sub-theme: Lowers quality of care to meet demand of testing

Theme: Establishes a lower than ideal and harmful level of care for those with HIV

Sub-theme: Ignores complex needs of HIV care

Sub-theme: Poorer health outcomes because of lack of ability to afford care

Theme: Disincentivizes testing

Sub-theme: Disincentivizes testing by providers

Sub-theme: Disincentivizes testing by patients

Theme: Overwhelms current HIV health care and support resources

How does increasing HIV screening without assured additional funding for linkage to care fulfill responsibilities to patients?

How does increasing HIV screening without assured additional funding for linkage to care violate responsibilities to patients?

Theme: Fulfills obligation to inform patients about their health

Theme: Initiates path to medical care

Theme: Incurs harm without significant benefit

Theme: Fulfills obligation to diagnose

Theme: Is an inappropriate action because testing when treatment exists is not ethical

Theme: Manipulates people into being tested under false pretenses

Theme: Promises hope of benefit without clear intention of treatment

Theme: Reduces quality of access and care as resources are overwhelmed

How does increasing HIV screening without assured additional funding for linkage to care respect patients’ rights?

How does increasing HIV screening without assured additional funding for linkage to care violate patients’ rights?

Theme: Informs patients about their health

Theme: Violates right to receive care for a treatable condition

Theme: Leads to an expansion of resources for HIV care

Theme: Knowingly diagnoses early, but induces harm because patients will suffer without treatment

Theme: Empowers patients to take action to improve their health

Theme: Violates benefit from information about your health

Theme: Increases advocacy for improved access to HIV care

Theme: Does not treat medical care and testing on an equal basis

Theme: Violates purpose of testing to lead to medical care and benefits to patient