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Retention in Care Services Reported by HIV Care Providers in the United States, 2013 to 2014
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2017 Sep/Oct
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Source: J Int Assoc Provid AIDS Care. 16(5):460-466.
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Alternative Title:J Int Assoc Provid AIDS Care
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Description:Objectives
Evidence-based guidelines recommend that HIV care providers offer retention-in-care services, but data are needed to assess service provision.
Methods
We surveyed a probability sample of 1234 HIV care providers to estimate the percentage of providers whose practices offered 5 recommended retention services and describe providers’ perceptions of barriers to care among patients.
Results
An estimated 21% of providers’ practices offered all 5 retention services. Providers at smaller (<50 versus >400 patients), private, and non-Ryan White HIV/AIDS Program (RWHAP)-funded practices, and practices without on-site case management were significantly less likely to provide patient navigation services or do systematic monitoring of retention. Providers’ most commonly perceived barriers to care among patients were mental health (40%), substance abuse (36%), and transportation (34%) issues.
Conclusion
Deficiencies in the provision of key retention services are substantial. New strategies may be needed to increase the delivery of recommended retention services, especially among private, non-RWHAP-funded, and smaller facilities.
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Pubmed ID:28791914
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Pubmed Central ID:PMC5575976
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