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. 2017 Sep/Oct;16(5):460-466.
doi: 10.1177/2325957417724204. Epub 2017 Aug 9.

Retention in Care Services Reported by HIV Care Providers in the United States, 2013 to 2014

Jason A Craw  1 , Heather Bradley  1 , Garrett Gremel  2 , Brady T West  3 , Christopher C Duke  2 , Linda Beer  1 , John Weiser  1
Affiliations

Retention in Care Services Reported by HIV Care Providers in the United States, 2013 to 2014

Jason A Craw et al. J Int Assoc Provid AIDS Care. 2017 Sep/Oct.

Abstract

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.

Keywords: HIV; HIV care providers; Medical Monitoring Project; delivery of health care; retention in care.

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Conflict of interest statement

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
Questions about retention services provided to patients within provider’s practice, Medical Monitoring Project 2013–2014 Provider Survey. Do you agree with the following statements about services provided to patients at your practice?
Figure 2
Figure 2
Percentage of HIV care providers whose practice offers at least 3 of 5, at least 4 of 5, and all 5 retention services, a Medical Monitoring Project 2013–2014 Provider Survey (N =1234). a Retention services included appointment reminders, missed visit follow-up, patient navigation services, reinforcing importance of follow-up visits, and systematic monitoring of retention in care.
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