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Role of Visit Modality in the HIV-Related No-Shows During the COVID-19 Pandemic: A Multisite Retrospective Cohort Study.

Authors
  • Sohail, Maira1
  • Long, Dustin1
  • Kay, Emma1
  • Levitan, Emily B1
  • Batey, D Scott1, 2
  • Reed-Pickens, Harriette1
  • Rana, Aadia1, 3
  • Carodine, Alyssa1
  • Nevin, Christa3
  • Eady, Seqouya4
  • Parmar, Jitesh5
  • Turner, Kelly6
  • Orakwue, Ifeanyi7
  • Miller, Theresa8
  • Wynne, Tracy9
  • Mugavero, Michael10, 11, 12
  • 1 Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL, USA.
  • 2 School of Social Work, Tulane University, New Orleans, LA, USA.
  • 3 UAB, University of Alabama at Birmingham, 1917 Clinic, Birmingham, AL, USA.
  • 4 UAB Family Clinic, University of Alabama at Birmingham, Birmingham, AL, USA.
  • 5 Thrive, Huntsville, AL, USA.
  • 6 Health Services Center, Anniston, AL, USA.
  • 7 Medical Advocacy and Outreach (MAO), Montgomery, AL, USA.
  • 8 University of South Alabama, Mobile, AL, USA.
  • 9 Unity Wellness Center, Opelika, AL, USA.
  • 10 Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL, USA. [email protected].
  • 11 UAB, University of Alabama at Birmingham, 1917 Clinic, Birmingham, AL, USA. [email protected].
  • 12 , 1808 7TH AVE SOUTH BDB 834, Birmingham, AL, 35233, USA. [email protected].
Type
Published Article
Journal
AIDS and Behavior
Publisher
Springer-Verlag
Publication Date
Aug 01, 2023
Volume
27
Issue
8
Pages
2478–2487
Identifiers
DOI: 10.1007/s10461-022-03973-2
PMID: 36633763
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The emergence of the COVID-19 pandemic necessitated rapid expansion of telehealth as part of healthcare delivery. This study compared HIV-related no-shows by visit type (in-person; video; telephone) during the COVID-19 pandemic (April 2020-September 2021) from the Data for Care Alabama project. Using all primary care provider visits, each visit's outcome was categorized as no-show or arrived. A logistic regression model using generalized estimating equations accounting for repeat measures in individuals and within sites calculated odds ratios (OR) and their accompanying 95% confidence interval (CI) for no-shows by visit modality. The multivariable models adjusted for sociodemographic factors. In-person versus telephone visits [OR (95% CI) 1.64 (1.48-1.82)] and in-person versus video visits [OR (95% CI) 1.53 (1.25-1.85)] had higher odds of being a no-show. In-person versus telephone and video no-shows were significantly higher. This may suggest success of telehealth visits as a method for HIV care delivery even beyond COVID-19. © 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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