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Cost-effectiveness of emergency department opt-out testing for HIV in England: a modelling study.

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Title: Cost-effectiveness of emergency department opt-out testing for HIV in England: a modelling study.
Authors: Walker JG; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK. Electronic address: josephine.walker@bristol.ac.uk., Baggaley RF; Institute of Health Informatics, University College London, London, UK; Division of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK; Development Centre for Population Health, University of Leicester, Leicester, UK., Myring G; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration West, Bristol, UK., Irvine MA; British Columbia Centre for Disease Control, Vancouver, BC, Canada., Asgharzadeh A; Bristol Medical School, University of Bristol, Bristol, UK., Laurence YV; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Bell E; UK Health Security Agency, London, UK., Schoemig V; UK Health Security Agency, London, UK., Cross E; UK Health Security Agency, London, UK., Allison S; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Kundu B; Bristol Medical School, University of Bristol, Bristol, UK., McNaughton AL; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Brown J; University Hospitals Sussex NHS Foundation Trust, Worthing, UK., Cresswell D; University Hospitals Sussex NHS Foundation Trust, Worthing, UK., van Halsema C; Manchester University NHS Foundation Trust, Manchester, UK., Hassan-Ibrahim MO; University Hospitals Sussex NHS Foundation Trust, Worthing, UK., Roberts J; University Hospitals Sussex NHS Foundation Trust, Worthing, UK., Ahmad S; Manchester University NHS Foundation Trust, Manchester, UK., Todd R; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Heath R; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Ward Z; Bristol Medical School, University of Bristol, Bristol, UK., Simmons R; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK., May T; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Hill-Tout R; NHS England, London, UK; Royal Free London, London, UK., Horwood J; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration West, Bristol, UK., Desai M; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK., Vickerman P; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK., Djuretic T; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK., Hickman M; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia; Glasgow Caledonian University, Glasgow, UK., Mandal S; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK.
Source: The lancet. HIV [Lancet HIV] 2026 Jun 25. Date of Electronic Publication: 2026 Jun 25.
Publication Type: Journal Article
Journal Info: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101645355 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-3018 (Electronic) Linking ISSN: 23523018 NLM ISO Abbreviation: Lancet HIV Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Walker+JG%22">Walker JG</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK. Electronic address: josephine.walker@bristol.ac.uk.<br /><searchLink fieldCode="AU" term="%22Baggaley+RF%22">Baggaley RF</searchLink>; Institute of Health Informatics, University College London, London, UK; Division of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK; Development Centre for Population Health, University of Leicester, Leicester, UK.<br /><searchLink fieldCode="AU" term="%22Myring+G%22">Myring G</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration West, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Irvine+MA%22">Irvine MA</searchLink>; British Columbia Centre for Disease Control, Vancouver, BC, Canada.<br /><searchLink fieldCode="AU" term="%22Asgharzadeh+A%22">Asgharzadeh A</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Laurence+YV%22">Laurence YV</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Bell+E%22">Bell E</searchLink>; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22Schoemig+V%22">Schoemig V</searchLink>; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22Cross+E%22">Cross E</searchLink>; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22Allison+S%22">Allison S</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Kundu+B%22">Kundu B</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22McNaughton+AL%22">McNaughton AL</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Brown+J%22">Brown J</searchLink>; University Hospitals Sussex NHS Foundation Trust, Worthing, UK.<br /><searchLink fieldCode="AU" term="%22Cresswell+D%22">Cresswell D</searchLink>; University Hospitals Sussex NHS Foundation Trust, Worthing, UK.<br /><searchLink fieldCode="AU" term="%22van+Halsema+C%22">van Halsema C</searchLink>; Manchester University NHS Foundation Trust, Manchester, UK.<br /><searchLink fieldCode="AU" term="%22Hassan-Ibrahim+MO%22">Hassan-Ibrahim MO</searchLink>; University Hospitals Sussex NHS Foundation Trust, Worthing, UK.<br /><searchLink fieldCode="AU" term="%22Roberts+J%22">Roberts J</searchLink>; University Hospitals Sussex NHS Foundation Trust, Worthing, UK.<br /><searchLink fieldCode="AU" term="%22Ahmad+S%22">Ahmad S</searchLink>; Manchester University NHS Foundation Trust, Manchester, UK.<br /><searchLink fieldCode="AU" term="%22Todd+R%22">Todd R</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Heath+R%22">Heath R</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Ward+Z%22">Ward Z</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Simmons+R%22">Simmons R</searchLink>; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22May+T%22">May T</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Hill-Tout+R%22">Hill-Tout R</searchLink>; NHS England, London, UK; Royal Free London, London, UK.<br /><searchLink fieldCode="AU" term="%22Horwood+J%22">Horwood J</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration West, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Desai+M%22">Desai M</searchLink>; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22Vickerman+P%22">Vickerman P</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK.<br /><searchLink fieldCode="AU" term="%22Djuretic+T%22">Djuretic T</searchLink>; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK.<br /><searchLink fieldCode="AU" term="%22Hickman+M%22">Hickman M</searchLink>; Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia; Glasgow Caledonian University, Glasgow, UK.<br /><searchLink fieldCode="AU" term="%22Mandal+S%22">Mandal S</searchLink>; NIHR Health Protection Research Unit in Evaluation and Behavioural Science, University of Bristol, Bristol, UK; UK Health Security Agency, London, UK.
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