Table 3.

Themes of uncoupling prevention counseling from HIV testing

Benefits	Risks or Harms
Theme: Positively affects perception of HIV and HIV testing Theme: Expands access to HIV testing Theme: Utilizes resources more efficiently Theme: Positively affects the HIV testing process Sub-theme: Streamlines Sub-theme: Overcomes barriers Theme: Deregulates HIV testing process Sub-theme: Benefits patients Sub-theme: Benefits providers Theme: Leads to increased testing, which has positive downstream effects	Theme: Loss of educational opportunity Theme: Negative effects on risk-taking behaviors Theme: Discourages good clinical practice Theme: Fails to address patient needs Theme: Deleteriously affects other elements in the HIV testing process
How does uncoupled prevention counseling fulfill responsibilities to patients? Theme: Expands access to HIV testing Theme: Deregulates HIV testing Theme: Leads to increased testing, which has positive downstream effects	How does uncoupled prevention counseling violate responsibilities to patients? Theme: Leads to a loss of an educational opportunity Theme: Does not acknowledge that HIV testing is different than testing for other diseases Theme: May have negative effects on risk-taking behavior
How does uncoupled prevention counseling respect patients' rights? Theme: Protects patients' right to privacy Theme: Respects patient autonomy Theme: Respects individual patient needs Theme: Leads to increased testing, which has positive downstream effects Theme: Deregulates HIV testing	How does uncoupled prevention counseling violate patients' rights? Theme: Limits access to medical care