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Rochelle P. Walensky, MD, MPH, Elena Losina, PhD, Laureen Malatesta, MHP, PA-C, George E. Barton, BA, Catherine A. O’Connor, MSN, ACRN, Paul R. Skolnik, MD, Jonathan M. Hall, BA, Jean F. McGuire, PhD and Kenneth A. Freedberg, MD, MSc

Rochelle P. Walensky and Kenneth A. Freedberg are with the Divisions of Infectious Disease, General Medicine, and the Partners AIDS Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. Elena Losina and Kenneth A. Freedberg are with the Departments of Biostatistics and Epidemiology, Boston University School of Public Health, Boston, Mass. At the time of the study, Laureen Malatesta, George E. Barton, Catherine A. O’Connor, and Jean F. McGuire were with the Massachusetts Department of Public Health AIDS Bureau, Boston. Paul R. Skolnik and Jonathan M. Hall are with Boston Medical Center, Boston, Mass.

Correspondence: Requests for reprints should be sent to Rochelle P. Walensky, MD, MPH, Division of General Medicine, Massachusetts General Hospital, 50 Staniford St, 9th Floor, Boston, MA 02114 (e-mail: rwalensky{at}partners.org).

Think HIV offered HIV counseling, testing, and referral to patients at 4 Massachusetts urgent care centers from January to September 2002. We compared the positive diagnosis yield of Think HIV with that of state-funded HIV counseling, testing, and referral sites. Think HIV found an HIV prevalence of 2.0% compared with 1.9% identified by self-referral testing. Urgent care center–based routine HIV counseling, testing, and referral programs are feasible, can have high positive diagnosis yields, and should be the standard of care in high HIV prevalence areas.

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