Retaining HIV Patients in Care: The Role of Initial Patient Care Experiences

AIDS and Behavior
Bich N DangThomas P Giordano

Abstract

Cross-sectional studies have shown an association between better patient experiences and health outcomes. However, the direction of causality remains unclear. Our prospective study seeks to determine whether better initial patient experiences predict subsequent retention in HIV care. We enrolled patients new to an HIV clinic in Houston, Texas, from August 26, 2013 to November 18, 2013. The patients' overall experience with the HIV provider was based on six items; overall experience with the HIV clinic was based on five items. We measured subsequent retention over the first 6 months and entire first year of HIV care. Analyses included 140 patients. Sixty-one percent were non-Hispanic black, 41 % were diagnosed with HIV within the last 3 months, and 36 % had a CD4 cell count <200. Thirty three percent were totally satisfied with their initial HIV provider experience and 32 % were totally satisfied with their initial HIV clinic experience. Retention was 68 % over the first 6 months and 51 % over the first year. Satisfaction with the HIV provider at the initial visit significantly predicted 6-month retention in care (aOR = 3.56, p = 0.006). Similar results were found for satisfaction with the HIV clinic (aOR = 4.67, p = 0.002). Nei...Continue Reading

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Citations

Oct 3, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Dima DandachiThomas P Giordano
Mar 4, 2018·The Journal of the Association of Nurses in AIDS Care : JANAC·Muni RubensJessy G Dévieux
Mar 4, 2019·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Dima DandachiMaria C Rodriguez-Barradas
Apr 28, 2020·AIDS and Behavior·Dima DandachiBich N Dang
Oct 27, 2018·PloS One·Chukwuma David UmeokonkwoLawrence Ogbonnaya
Aug 31, 2020·Oral Diseases·Anandi YuvarajJanine Doughty
May 31, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Hong-Van TieuVictoria Frye
Jul 7, 2020·HIV Medicine·D Van BeckhovenUNKNOWN Belgian Research on AIDS, HIV Consortium (BREACH)
Oct 7, 2020·Global Public Health·Catherine KafuBecky Genberg
Oct 14, 2020·Journal of Public Health Dentistry·Carrigan L ParishLisa R Metsch
Aug 23, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Madellena ConteAngelo Clemenzi-Allen
Nov 24, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Melanie A ThompsonJudith A Aberg
Nov 3, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Madellena ConteAngelo Clemenzi-Allen
Oct 15, 2020·International Journal of Environmental Research and Public Health·Ofole MgbakoRobert H Remien
Apr 13, 2021·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Stephen Perinchery-Herman
Dec 9, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Melanie A ThompsonJudith A Aberg

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