Dataset Information

Improving Retention in HIV Care Through New York's Expanded Partner Services Data-to-Care Pilot.

ABSTRACT:

Context

Data to Care (DTC) represents a public health strategy using HIV surveillance data to link persons living with diagnosed HIV infection (PLWDHI) to HIV-related medical care.

Objective

To investigate the feasibility of the DTC approach applied to a Partner Services program serving a geographically diffuse area of New York State.

Design

Disease intervention specialists received training to function as Expanded Partner Services (ExPS) advocates. HIV surveillance data identified PLWDHI presumed to be out of care (OOC). ExPS advocates attempted to locate and reengage OOC individuals in HIV-related care. The pilot ran from September 1, 2013, to August 31, 2014.

Setting

Four upstate New York counties, home to one-third of all PLWDHI in upstate New York.

Participants

A total of 1155 PLWDHI presumed to be OOC.

Main outcome measures

Linked to HIV medical care-cases verified as attending 1 or more HIV medical appointments subsequent to case assignment; reengaging in HIV care-any HIV laboratory test in the 6 months following case closure; and retention in HIV care-2 or more HIV laboratory tests in the 6 months following case closure.

Results

The majority of assigned cases (85.3%) were located; 23.7% (n = 233) of located cases confirmed as OOC; and 71.2% of OOC cases (n = 166) were successfully relinked into care. Relinkage success did not differ by gender, transmission risk, or major race/ethnicity categories; however, there was a direct relationship between age and successful relinkage (P < .001). Ninety-five percent of relinked cases reengaged in medical care, and 63.3% were retained in care. Individuals relinked by ExPS advocates were more likely to reengage in care (95%) than individuals interviewed but not relinked to care by advocates (53.7%) and individuals ineligible for the ExPS intervention (34.2%).

Conclusion

DTC can be effective when conducted outside large metropolitan areas and/or closed health care systems. It can also be effectively incorporated into existing Partner Services programs; however, the relative priority of DTC work must be established in this context.

SUBMITTER: Tesoriero JM

PROVIDER: S-EPMC5381495 | biostudies-literature | 2017 May/Jun

REPOSITORIES: biostudies-literature

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Publications

Improving Retention in HIV Care Through New York's Expanded Partner Services Data-to-Care Pilot.

Tesoriero James M JM Johnson Britney L BL Hart-Malloy Rachel R Cukrovany Jennifer L JL Moncur Brenda L BL Bogucki Kathleen M KM Anderson Bridget J BJ Johnson Megan C MC

Journal of public health management and practice : JPHMP 20170501 3

<h4>Context</h4>Data to Care (DTC) represents a public health strategy using HIV surveillance data to link persons living with diagnosed HIV infection (PLWDHI) to HIV-related medical care.<h4>Objective</h4>To investigate the feasibility of the DTC approach applied to a Partner Services program serving a geographically diffuse area of New York State.<h4>Design</h4>Disease intervention specialists received training to function as Expanded Partner Services (ExPS) advocates. HIV surveillance data id ...[more]

PMID: 27902561

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Dataset Information

Improving Retention in HIV Care Through New York's Expanded Partner Services Data-to-Care Pilot.

Context

Objective

Design

Setting

Participants

Main outcome measures

Results

Conclusion

Publications

Improving Retention in HIV Care Through New York's Expanded Partner Services Data-to-Care Pilot.

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