The Effect of Patient Navigation on the Likelihood of Engagement in Clinical Care for HIV-Infected Individuals Leaving Jail
| Autor: | Rebecca Packard, Mi-Suk Kang Dufour, Kimberly A. Koester, Mark Morewitz, Janet J. Myers, Alissa Riker, Jacqueline P. Tulsky, Milton Estes, Kate Monico Klein, Brie Williams |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Comparative Effectiveness Research Human immunodeficiency virus (HIV) HIV Infections AJPH Research medicine.disease_cause Medical and Health Sciences 03 medical and health sciences 0302 clinical medicine Clinical Research Hiv infected Internal medicine medicine Humans Patient Navigation 030212 general & internal medicine Clinical care 030505 public health business.industry Prisoners Rehabilitation Public Health Environmental and Occupational Health Odds ratio Health Services Continuity of Patient Care Case management Confidence interval Prisons HIV/AIDS Female San Francisco Public Health Substance use 0305 other medical science business Infection Case Management |
| Zdroj: | American journal of public health, vol 108, iss 3 Myers, Janet J; Kang Dufour, Mi-Suk; Koester, Kimberly A; Morewitz, Mark; Packard, Rebecca; Monico Klein, Kate; et al.(2018). The Effect of Patient Navigation on the Likelihood of Engagement in Clinical Care for HIV-Infected Individuals Leaving Jail.. American journal of public health, 108(3), 385-392. doi: 10.2105/ajph.2017.304250. UC Office of the President: Research Grants Program Office (RGPO). Retrieved from: http://www.escholarship.org/uc/item/3t99r8s8 |
| DOI: | 10.2105/ajph.2017.304250. |
| Popis: | Objectives. To compare the effectiveness of patient navigation–enhanced case management in supporting engagement in HIV care upon release from jail relative to existing services. Methods. We randomized 270 HIV-infected individuals to receive navigation-enhanced case management for 12 months or standard case management for 90 days following release from jail between 2010 and 2013. Participants were interviewed at 2, 6, and 12 months after release. We abstracted medical data from jail and city health records. Results. Patient navigation–enhanced case management resulted in greater linkage to care within 30 days of release (odds ratio [OR] = 2.15; 95% confidence interval [CI] = 1.23, 3.75) and consistent retention over 12 months (OR = 1.95; 95% CI = 1.11, 3.46). Receipt of treatment for substance use disorders in jail also resulted in early linkage (OR = 4.06; 95% CI = 1.93, 8.53) and retention (OR = 2.52; 95% CI = 1.21, 5.23). Latinos were less likely to be linked to (OR = 0.35; 95% CI = 0.14, 0.91) or retained in (OR = 0.28; 95% CI = 0.09, 0.82) HIV care. Conclusions. Patient navigation supports maintaining engagement in care and can mitigate health disparities, and should become the standard of care for HIV-infected individuals leaving jail. |
| Databáze: | OpenAIRE |
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