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Managing the Personal Side of Health Care among Patients with HIV/AIDS.

Authors
  • Mgbere, Osaro1
  • Khuwaja, Salma1
  • Bell, Tanvir K2
  • Rodriguez-Barradas, Maria C3
  • Arafat, Raouf1
  • Blair, Janet M4
  • Essien, Ekere James5
  • 1 1 Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, Houston, TX, USA.
  • 2 2 Department of Internal Medicine, Division of Infectious Diseases, University of Texas Health Science Center-Houston, Houston, TX, USA.
  • 3 3 Department of Medicine, Infectious Diseases Section, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, USA.
  • 4 4 Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention, Atlanta, GA, USA.
  • 5 5 Institute of Community Health, Texas Medical Center, University of Houston College of Pharmacy, Houston, TX, USA.
Type
Published Article
Journal
Journal of the International Association of Providers of AIDS Care (JIAPAC)
Publisher
SAGE Publications
Publication Date
Jan 01, 2017
Volume
16
Issue
2
Pages
149–160
Identifiers
DOI: 10.1177/2325957414555229
PMID: 25331218
Source
Medline
Keywords
License
Unknown

Abstract

The study describes the HIV care providers' sociodemographic and medical practice characteristics and the health care services offered to patients during medical care encounters in Houston/Harris County, Texas. We used data from the pilot cycle of the Centers for Disease Control and Prevention Medical Monitoring Project Provider Survey conducted in June to September 2009. The average age and HIV care experience of the providers were 46.7 and 11.7 years, respectively, and they provided care to an average of 113 patients monthly. The average proportion of HIV-infected patients seen per month by race/ethnicity was 43.3% for blacks, 28.5% for whites, 26.6% for Hispanics, 1.3% for Asians, and 0.6% for other races. A total of 67% of providers offered HIV testing to all patients 13 to 64 years of age. Most HIV care providers (73.9%) reported that patients in their practices sought HIV care only after experiencing symptoms. Understanding the HIV care delivery system from providers' perspectives may help enhance support services, patients' ongoing care and retention, leading to improved health outcomes.

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