Predictors of Linkage to Care for Newly Diagnosed HIV-Positive Adults.
Western Journal of Emergency Medicine
Delivery of Health Care--organization & administration; HIV Infections--drug therapy; Patient Compliance; Patient Participation
INTRODUCTION: Linkage to care following a human immunodeficiency virus (HIV) diagnosis is critical. In the U.S. only 69% of patients are successfully linked to care, which results in delayed receipt of antiretroviral therapy leading to immune system dysfunction and risk of transmission to others.
METHODS: We evaluated predictors of failure to link to care at a large urban healthcare center in Philadelphia in order to identify potential intervention targets. We conducted a cohort study between May 2007 and November 2011 at hospital-affiliated outpatient clinics, emergency departments (EDs), and inpatient units.
RESULTS: Of 87 patients with a new HIV diagnosis, 63 (72%) were linked to care: 23 (96%) from the outpatient setting and 40 (63%) from the hospital setting (ED or inpatient) (p
CONCLUSION: Our findings demonstrate the comparative success of linkage to care in outpatient medical clinics versus hospital-based settings. This study both reinforces the importance of routine opt-out HIV testing in outpatient practices, and demonstrates the need to better understand barriers to linkage.
Aaron, E., Alvare, T., Gracely, E. J., Riviello, R., & Althoff, A. (2015). Predictors of Linkage to Care for Newly Diagnosed HIV-Positive Adults.. Western Journal of Emergency Medicine, 16 (4). http://dx.doi.org/10.5811/westjem.2015.4.25345