Table 2 Barriers and facilitators to ED HIV testing

'Profiling' patients as appropriate or not appropriate for an HIV test

Discomfort about disclosing a positive HIV test result

Discomfort about offering an HIV test

Discomfort about HIV informational materials

Viewing the HIV test as within the domain of primary care

Common Facilitators

Competing time demands

Serving vulnerable urban populations

Lack of staff to offer and perform the test

The secondary gain of re-engaging known HIV-infected patients back into care

Quality control for point of care testing

The support of the medical setting, e.g., social services, medical evaluation.

Remembering to disclose negative test results