Impact of Alternative Encounter Types on HIV Viral Suppression Rates in an Integrated Health System

2018 ◽  
Vol 32 (11) ◽  
pp. 425-431 ◽  
Author(s):  
Michael A. Horberg ◽  
Jackie G. Blank ◽  
Kevin B. Rubenstein ◽  
Julia M. Certa ◽  
Leo B. Hurley ◽  
...  
Keyword(s):  
Health System ◽  
Viral Suppression ◽  
Integrated Health ◽  
Hiv Viral Suppression

Tu1703 DIAGNOSIS OF HEPATOPULMONARY SYNDROME IN A LARGE INTEGRATED HEALTH SYSTEM

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  
Keyword(s):  
Health System ◽  
Hepatopulmonary Syndrome ◽  
Integrated Health

scholarly journals The Effect of Partnership Presence and Support on HIV Viral Suppression Among Serodiscordant Partnered and Single Heterosexual HIV-Positive Individuals in Brazil

2021 ◽  
Author(s):  
Zoë Baker ◽  
Pamina Gorbach ◽  
Marineide Gonçalves de Melo ◽  
Ivana Varela ◽  
Eduardo Sprinz ◽  
...  
Keyword(s):  
Viral Suppression ◽  
Hiv Positive ◽  
Hiv Viral Suppression

scholarly journals 1311. Ryan White HIV Care Continuum Model Doubled the Rate of Community HIV Viral Suppression for Newly Diagnosed Patients: A 10-Year Review

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S473-S473
Author(s):  
Christina Rizk ◽  
Alice Zhao ◽  
Janet Miceli ◽  
Portia Shea ◽  
Merceditas Villanueva ◽  
...  
Keyword(s):  
Viral Suppression ◽  
Linkage To Care ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Newly Diagnosed ◽  
New Haven ◽  
Care Continuum ◽  
Art Initiation ◽  
Ryan White ◽  
Hiv Viral Suppression

Abstract Background It is estimated that 1,295 per 100,000 are people living with HIV (PLWH) in New Haven, which is the second highest rate of HIV prevalence in Connecticut. Since 2009, New Haven has established the Ryan White (RW) HIV Care Continuum. The main goals of HIV care are early linkage to care, ART initiation, and HIV viral suppression. This study is designed to understand the trends and outcomes in newly diagnosed PLWH in New Haven County. Methods This study is a retrospective medical record review of all newly diagnosed RW eligible PLWH from January 1, 2009 to December 31, 2018. The data were collected in REDCap database and included demographics, HIV risk factor, presence of mental health and/or substance abuse disorder, date of diagnosis, date of initial visit, and ART initiation. Health outcomes such as AIDS at diagnosis and rate of viral suppression were evaluated. The data were then analyzed to show the trends over 10 years. Results From January 1, 2009 to December 31, 2018 there were 420 newly diagnosed RW PLWH. Sixty-seven percent of those were male, 56% were non-white, 47% self-identified as Men who have Sex with Men (MSM), and 41% were heterosexual. Twenty-nine percent had AIDS-defining condition at the time of the diagnosis. Thirty-four percent of the 420 patients had a mental health and/or substance use disorder; 53% of those were MSM and 51% were non-white. Over the 10-year period, it was noted that the duration between date of HIV diagnosis and linkage to care as well as ART initiation decreased. This decline was associated with a substantial increase in viral suppression. The average time between the dates of HIV diagnosis and initial visit decreased from 269 days in 2009 to 13 days in 2018. Moreover, the average time between the dates of diagnosis and ART initiation dropped from 308 days in 2009 to 15 days in 2018. The 1-year HIV viral suppression rate subsequently doubled from 44% in 2009 to 87% in 2018 (P < 0.01). Conclusion The Ryan White HIV Care Continuum Model with emphasis on early linkage to care and ART initiation can have a significant impact on HIV viral suppression at a community level for newly diagnosed patients. Another important observation in this study was the alarming high rate of AIDS at diagnosis, which highlights the need for universal HIV testing, and early diagnosis. Disclosures All authors: No reported disclosures.

scholarly journals Participation in methadone programs improves antiretroviral uptake and HIV viral suppression among people who inject drugs in Kenya

2021 ◽  
pp. 108587
Author(s):  
Loice W. Mbogo ◽  
Betsy Sambai ◽  
Aliza Monroe-Wise ◽  
Natasha T. Ludwig-Barron ◽  
Brandon L. Guthrie ◽  
...  
Keyword(s):  
Viral Suppression ◽  
People Who Inject Drugs ◽  
Hiv Viral Suppression
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