Table 2 Themes for making HIV screening similar to screening for other treatable medical conditions

Theme: Destigmatizes HIV testing

Theme: Ignores exceptional nature of HIV

Sub-theme: Destigmatizes who is at risk and removes stereotypes about risk

Sub-theme: Leads to persistence of stigma and adverse social, societal problems

Theme: Leads to positive downstream affects

Sub-theme: Underestimates gravity of HIV diagnosis

Sub-theme: Identifies more HIV infections

Sub-theme: Falsely equates HIV with other sexually transmitted diseases

Sub-theme: Increases testing utilization

Sub-theme: Downplays significance of HIV in society

Sub-theme: Identifies people earlier in infection

Theme: Leads to potential for poor or cavalier implementation of HIV testing recommendations

Sub-theme: Promotes view of HIV as a treatable, chronic condition

Theme: Promotes screening by inadequately prepared clinicians

Theme: Encourages unneeded, superfluous testing

Sub-theme: Gives an understanding of the true extent of the HIV epidemic

Theme: Fails to individualize screening

Theme: Creates conflicts in physician-patient relationships

Sub-theme: Improves public health

Theme: Facilitates HIV testing

Sub-theme: Increases provider comfort in offering HIV screening

Sub-theme: Increases patient comfort in being tested for HIV

Sub-theme: Encourages other medical/public health groups to recommend routine HIV screening

Sub-theme: May lead to third-party insurers to pay for routine HIV screening

Sub-theme: Streamlines HIV testing process for providers

Sub-theme: Increases patient comfort in being tested for HIV

Sub-theme: Makes testing more convenient and accessible for patients

Theme: Promotes view of HIV testing as a routine part of maintaining health

Theme: Eliminates HIV exceptionalism

Theme: Eliminates the assumptions about risk for HIV and associated stereotypes

Theme: Normalizes HIV testing in comparison to other screening tests

Theme: Engenders belief that HIV screening is a part of maintaining good health

How does making HIV screening similar to screening for other treatable medical conditions fulfill responsibilities to patients?

How does making HIV screening similar to screening for other treatable medical conditions violate responsibilities to patients?

Theme: Conducts necessary screening for maintaining and promoting health

Theme: Violates obligation to assess patient’s emotional health and safety before testing

Theme: Obtains more information about patient’s health and health needs

Theme: Ignores exceptional nature of HIV

Theme: Identifies unrecognized HIV infections and facilitates linkage to care

Theme: Facilitates HIV testing

Theme: Facilitates harm and risk reduction to patients and their contacts

How does making HIV screening similar to screening for other treatable medical conditions respect patients’ rights?

How does making HIV screening similar to screening for other treatable medical conditions violate patients’ rights?

Theme: Incorporates a process into good, standard clinical care

Theme: Creates a potential for poor or cavalier implementation of HIV testing recommendations

Theme: Leads to increased testing, which has positive downstream effects

Theme: Reduces stigma