Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Publisher's site:
http://dx.doi.org/10.15585/mmwr.mm6639a1
Personal Author:
Tanner, Mary R. ; Bush, Tim ; Nesheim, Steven R ; Weidle, Paul J. ; Byrd, Kathy K.
Tanner, Mary R. ; Bush, Tim ; Nesheim, Steven R ; Weidle, Paul J. ; Byrd, Kathy K. Less -
Description:
In 2014, an estimated 2,477 children aged <13 years were living with diagnosed human immunodeficiency virus (HIV) infection in the United States (1). Nationally, little is known about how well children with a diagnosis of HIV infection are retained in medical care. CDC analyzed insurance claims data to evaluate retention in medical care for children in the United States with a diagnosis of HIV infection. Data sources were the 2010-2014 MarketScan Multi-State Medicaid and MarketScan Commercial Claims and Encounters databases. Children aged <13 years with a diagnosis of HIV infection in 2010 were identified using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic billing codes for HIV or acquired immunodeficiency syndrome (AIDS), resulting in Medicaid and commercial claims cohorts of 163 and 129 children, respectively. Data for each child were evaluated during a 36-month study period, counted from the date of the first claim containing an ICD-9-CM code for HIV or AIDS. Each child's consistency of medical care was assessed by evaluating the frequency of medical visits during the first 24 months of the study period to see if the frequency of visits met the definition of retention in care. Frequency of medical visits was then assessed during an additional 12-month follow-up period to evaluate differences in medical care consistency between children who were retained or not retained in care during the initial 24-month period. During months 0-24, 60% of the Medicaid cohort and 69% of the commercial claims cohort were retained in care, among whom 93% (Medicaid) and 85% (commercial claims) were in care during months 25-36. To identify areas for additional public health action, further evaluation of the objectives for national medical care for children with diagnosed HIV infection is indicated.
Subject:
[+]
Child
Child, Preschool
Child Health Services
Cohort Studies
Commerce
Continuity Of Patient Care
Databases, Factual
Female
Full Report
HIV Infections
Humans
Infant
Insurance, Health
Insurance Claim Review
Male
Medicaid

Source:
MMWR Morb Mortal Wkly Rep. 66(39):1033-1038.
Pubmed ID:
28981480
Pubmed Central ID:
PMC5720885
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:d3d1bf4ceef614e70c029f1717debea5703d54a6a5f28e2def9a6ece90d83061
File Type:

Supporting Files

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