Evidence map›Paper›PMID 25030033›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings.

Starley B Shade, Wayne T Steward, Kimberly A Koester, Deepalika Chakravarty, Janet J Myers

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Precision public-health intervention for care coordination: a real-world study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Sociotechnical Analysis of Health Information Exchange Consent Processes in an HIV Clinic.The Journal of the Association of Nurses in AIDS Care : JANAC
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Starley B ShadeCenter for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, USA.
Wayne T StewardCenter for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, USA.
Kimberly A KoesterCenter for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, USA.
Deepalika ChakravartyCenter for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, USA.
Janet J MyersCenter for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California, USA.

Funding

PHS HHS H97HA08477
6 · The paper itself

Abstract

backgroundThe National HIV/AIDS Strategy (NHAS) emphasizes the use of technology to facilitate coordination of comprehensive care for people with HIV. We examined the effect of six health information technology (HIT) interventions in a Ryan White-funded Special Projects of National Significance (SPNS) on care completion services, engagement in HIV care, and viral suppression.

methodsInterventions included use of surveillance data to identify out-of-care individuals, extending access to electronic health records to support service providers, use of electronic laboratory ordering and prescribing, and development of a patient portal. Data from a sample of electronic patient records from each site were analyzed to assess changes in utilization of comprehensive care (prevention screening, support service utilization), engagement in primary HIV medical care (receipt of services and use of antiretroviral therapy), and viral suppression. We used weighted generalized estimating equations to estimate outcomes while accounting for the unequal contribution of data and differences in the distribution of patient characteristics across sites and over time.

resultsWe observed statistically significant changes in the desired direction in comprehensive care utilization and engagement in primary care outcomes targeted by each site. Five of six sites experienced statistically significant increases in viral suppression. DISCUSSION: These results provide additional support for the use of HIT as a valuable tool for achieving the NHAS goal of providing comprehensive care for all people living with HIV. HIT has the potential to increase utilization of services, improve health outcomes for people with HIV, and reduce community viral load and subsequent transmission of HIV.

Indexed as

Electronic Health RecordsMedical InformaticsPatient Care ManagementAccess to InformationAnti-Retroviral AgentsHIV InfectionsHumansPopulation SurveillancePreventive Health ServicesPublic AssistanceRegression AnalysisUnited StatesViral LoadAnti-Retroviral Agentscoordinationengagementhealth information technologyHIV careRyan White Care Programviral load

Identifiers

PMID25030033
PMCPMC11888331

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.