Improving Engagement in HIV Care Using a Data-to-Care and Patient Navigation System in Louisiana, United States. (24th September 2020)

• Record Type: Journal Article
• Authors: Anderson, Susannah; Henley, Catherine; Lass, Katherine; Burgess, Samuel; Jenner, Eric
• Is Part Of: Journal of the Association of Nurses in AIDS Care. Volume 31:Number 5(2020)
• Page Start: 553
• Page End: 565
• Publication Date: 2020-09-24
• Subjects: discrete-time hazard analysis -- linkage to care -- out-of-care persons living with HIV -- surveillance system; AIDS (Disease) -- Nursing -- Periodicals; AIDS (Disease) -- Treatment -- Periodicals; AIDS (Disease) -- Periodicals; HIV infections -- Nursing -- Periodicals; HIV infections -- Treatment -- Periodicals; HIV infections -- Periodicals; 616.97920231
• DOI: 10.1097/JNC.0000000000000150
• Languages: English
• ISSNs: 1055-3290

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Abstract: An estimated 57% of persons living with HIV (PLWH) in the United States are not connected to regular medical care or have lapsed from regular care (Centers for Disease Control and Prevention, 2018), increasing risk of HIV progression and transmission and delaying viral suppression. The state of Louisiana has consistently ranked in the top five US states for HIV case rates. We evaluated the impact of a combined data-to-care and patient navigation system that was implemented in 3 cities in Louisiana from 2013 to 2015. The program, LA Links, used a surveillance system to identify PLWH who were not in regular health care and connected them to a patient navigator. During the intervention period, persons who lapsed from care were 17% more likely to reengage in care than persons in the comparison group, and persons newly diagnosed during the intervention period were 56% more likely to link to care.