Comparison of HIV outcomes for patients linked at hospital versus community-based clinics.
Publication/Presentation Date
3-1-2015
Abstract
Outpatient care for people living with HIV is delivered in diverse settings. Differences in setting may impact HIV outcomes. We evaluated HIV-infected adults in care at Ryan White-funded clinics in Philadelphia, PA, between 2008 and 2011 to determine how setting of care (hospital versus community-based) influenced HIV outcomes. Clinics were categorized as hospital-based if they were located onsite at a hospital. The composite outcome was completion of the final three steps of the HIV care continuum: (1) retention in care; (2) use of antiretroviral therapy (ART); and (3) viral suppression. Mixed-effects logistic regression, accounting for patient and clinic factors, examined the relationship between care setting and the outcome. In total, 12,637 patients, contributing 32,515 patient-years, received care at 25 clinics (12 hospital-based). Women, non-Hispanic blacks, those with private insurance, and individuals with higher household incomes more commonly attended hospital-based clinics (p
Volume
29
Issue
3
First Page
117
Last Page
125
ISSN
1557-7449
Published In/Presented At
Schranz, A. J., Brady, K. A., Momplaisir, F., Metlay, J. P., Stephens, A., & Yehia, B. R. (2015). Comparison of HIV outcomes for patients linked at hospital versus community-based clinics. AIDS patient care and STDs, 29(3), 117–125. https://doi.org/10.1089/apc.2014.0199
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
25665013
Department(s)
Administration and Leadership
Document Type
Article
