Using Financial Incentives to Improve Rates of Viral Suppression and Engagement in Care of Patients Receiving HIV Care at 3 Health Clinics in Louisiana: The Health Models Program, 2013-2016
| Autor: | DeAnn Gruber, Samuel Burgess, Deborah Wendell, Jacquelyn Bickham, Antoine D Brantley |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Patient Dropouts Adolescent Human immunodeficiency virus (HIV) Ethnic group HIV Infections medicine.disease_cause White People Sexual and Gender Minorities Young Adult 03 medical and health sciences 0302 clinical medicine Financial incentives Ethnicity Humans Medicine 030212 general & internal medicine Viral suppression Homosexuality Male Poverty Reimbursement Incentive Acquired Immunodeficiency Syndrome Motivation 030505 public health business.industry Racial Groups Public Health Environmental and Occupational Health Middle Aged Patient Acceptance of Health Care Viral Load Louisiana United States Black or African American Incentive Family medicine Female Public Health Evaluation 0305 other medical science business |
| Zdroj: | Public Health Reports. 133:75S-86S |
| ISSN: | 1468-2877 0033-3549 |
| Popis: | Objectives: The Care and Prevention in the United States Demonstration Project aimed to reduce HIV/AIDS-related morbidity and mortality among racial/ethnic minority groups in 8 states. We evaluated Health Models, a pay-for-performance program piloted by the Louisiana Department of Health that used financial incentives to improve rates of engagement in HIV medical care and viral suppression among people with HIV. Methods: We enrolled 2076 patients of 3 urban HIV specialty clinics in Louisiana in the Health Models pay-for-performance program on a rolling basis from September 2013 through September 2016 and gave patients cash incentives to attend HIV medical appointments, achieve or maintain viral suppression, and link to supportive services. We used laboratory data collected from Louisiana’s HIV surveillance database to calculate rates of engagement in care and viral suppression during the first 24 months of enrollment. Results: Of the 2076 patients who enrolled, 1400 (67.4%) were non-Hispanic black, 1480 (71.3%) were male, 1175 (56.6%) were men who have sex with men, and 1371 (66.0%) reported an annual income of Conclusions: During the implementation of Health Models, enrolled patients had increases in rates of viral suppression and achieved rates of engagement in care and viral suppression that were higher than national levels; however, additional supportive services may be needed to further reduce socioeconomic disparities in the rates of viral suppression. |
| Databáze: | OpenAIRE |
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