Abstract
In the United States, HIV infection is generally discovered at an advanced stage, usually in the course of medical care and often during care for complications of AIDS. Earlier diagnosis would be far preferable, because it could speed access to appropriate care and increase the proportion of HIV-infected patients receiving care, thereby improving the quality of care for persons and populations.1 Two articles in this issue of the Journal indicate that widespread use of routine screening could offer these benefits and more at a reasonable cost. Paltiel and colleagues2 and Sanders and colleagues3 both predict that widespread use of routine . . .

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