Clinic network collaboration and patient tracing to maximize retention in HIV care

James Hamilton McMahon, Richard Moore, Beng Eu, Ban Kiem Tee, Marcus Y Chen, Carol El-Hayek, Alan Street, Ian John Woolley, Andrew Buggie, Danielle Collins, Nicholas Andrew Medland, Jennifer Frances Hoy

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11 Citations (Scopus)

Abstract

BACKGROUND: Understanding retention and loss to follow up in HIV care, in particular the number of people with unknown outcomes, is critical to maximise the benefits of antiretroviral therapy. Individual-level data are not available for these outcomes in Australia, which has an HIV epidemic predominantly focused amongst men who have sex with men. METHODS AND FINDINGS: A network of the 6 main HIV clinical care sites was established in the state of Victoria, Australia. Individuals who had accessed care at these sites between February 2011 and June 2013 as assessed by HIV viral load testing but not accessed care between June 2013 and February 2014 were considered individuals with potentially unknown outcomes. For this group an intervention combining cross-referencing of clinical data between sites and phone tracing individuals with unknown outcomes was performed. 4966 people were in care in the network and before the intervention estimates of retention ranged from 85.9%-95.8% and the proportion with unknown outcomes ranged from 1.3-5.5%. After the intervention retention increased to 91.4-98.8% and unknown outcomes decreased to 0.1-2.4% (p
Original languageEnglish
Article numbere0127726
Pages (from-to)1 - 11
Number of pages11
JournalPLoS ONE
Volume10
Issue number5
DOIs
Publication statusPublished - 2015

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