Informing Targeted Interventions to Optimize the Cascade of HIV Care Using Cluster Analyses of Health Resource Use Among People Living with HIV/AIDS

被引：0

作者：

Emanuel Krebs

Jeong E. Min

Ahmed M. Bayoumi

Rolando Barrios

Julio S. G. Montaner

Bohdan Nosyk

机构：

[1] St. Paul’s Hospital,BC Centre for Excellence in HIV/AIDS

[2] University of British Columbia,Division of AIDS, Faculty of Medicine

[3] Simon Fraser University,Faculty of Health Sciences

[4] Vancouver Coastal Health,Department of Medicine

[5] University of Toronto,undefined

来源：

AIDS and Behavior | 2018年 / 22卷

关键词：

HIV care; HIV interventions; Targeted interventions; Health resource utilization; Clustering analysis; Health administrative data;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Increased awareness of the secondary preventive benefits of antiretroviral treatment (ART) has strengthened the desire to optimize health care systems’ response to HIV/AIDS. We identified clusters of health resource utilization (HRU) among people living with HIV (PLHIV) to inform targeted interventions aimed to optimize the cascade of HIV care. Using linked population-level health databases in British Columbia, Canada, we selected two analytic samples of PLHIV with 3 years of follow-up between 2006–2011 that were classified as intermittently retained in care or intermittently engaged in ART, and executed a probabilistic model-based clustering analysis for each sample with 5 and 9 quarterly HRU variables, respectively. We found clear HRU profile differences among both samples with similar HIV-related care: one featured active involvement in non-HIV care, the other little or no health care interaction following linkage to care. Differential reengagement intervention strategies capitalizing on missed opportunities in non-HIV care and further engaging physicians delivering HIV care are needed to optimize the response to the HIV epidemic.

引用

页码：234 / 244

页数：10