Is Patient Navigation Used by People with HIV Who Need It? An Assessment from the Medical Monitoring Project, 2015 − 2017
| Autor: | Yuko Mizuno, Jennifer L. Fagan, Mabel Padilla, Yunfeng Tie |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice Adolescent media_common.quotation_subject Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Health Services Accessibility Article Young Adult 03 medical and health sciences 0302 clinical medicine Prevalence medicine Humans Patient Navigation 030212 general & internal medicine health care economics and organizations media_common Service (business) Health Services Needs and Demand 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged Viral Load medicine.disease United States Health Literacy Infectious Diseases Feeling Female Medical emergency 0305 other medical science business Viral load |
| Zdroj: | AIDS Patient Care STDS |
| ISSN: | 1557-7449 1087-2914 |
| DOI: | 10.1089/apc.2020.0074 |
| Popis: | We (1) estimated the prevalence of not getting patient navigation despite feeling a need for the service (unmet subjective need) or despite having unsuppressed viral load (unmet objective need) among people with HIV (PWH), (2) determined reasons why PWH did not use the service, and (3) determined factors associated with unmet need for patient navigation. We used combined data from the 2015 to 2017 cycles of the Medical Monitoring Project (MMP), an HIV surveillance system designed to produce nationally representative estimates of the characteristics of adults with diagnosed HIV infection in the United States. Six percent reported unmet subjective need and 28% had unmet objective need for patient navigation. When needs were combined, more than a third had unmet need for the service. Among PWH with unmet subjective need for patient navigation, 77% reported lack of knowledge about patient navigation as a reason for non-use. Younger age, female gender, racial/ethnic minority status, limited health literacy, homelessness, incarceration history, lack of health insurance/coverage, non-injection drug use, depression, and recent HIV diagnosis were associated with unmet subjective or objective need for patient navigation. One in three PWH did not use patient navigation despite needing the service. Lack of knowledge about patient navigation was a barrier to use, calling for increased availability and promotion of such services. PWH with social and economic vulnerabilities were less likely to get patient navigation when needed. It is important to address the question of how to make this service available to everyone who needs it. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|