Evidence map›Paper›PMID 30457958›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Implementing a Data to Care Strategy to Improve Health Outcomes for People With HIV: A Report From the Care and Prevention in the United States Demonstration Project.

Patricia Sweeney, Tamika Hoyte, Mesfin S Mulatu, Jacquelyn Bickham, Antoine D Brantley, Curt Hicks, Shanell L McGoy, Melissa Morrison, Anne Rhodes, Lauren Yerkes and 3 more

Abstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
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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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Patricia Sweeney1 HIV Incidence and Case Surveillance Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Tamika Hoyte2 Program and Performance Improvement Office, Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Mesfin S Mulatu3 Program Evaluation Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jacquelyn Bickham4 STD/HIV Program, Louisiana Department of Health, New Orleans, LA, USA.
Antoine D Brantley4 STD/HIV Program, Louisiana Department of Health, New Orleans, LA, USA.
Curt Hicks5 STD/HIV Program, Illinois Department of Public Health, Springfield, IL, USA.
Shanell L McGoy6 HIV, STD, and Viral Hepatitis, Tennessee Department of Health, Nashville, TN, USA.
Melissa Morrison6 HIV, STD, and Viral Hepatitis, Tennessee Department of Health, Nashville, TN, USA.
Anne Rhodes7 Division of Disease Prevention, Virginia Department of Health, Richmond, VA, USA.
Lauren Yerkes7 Division of Disease Prevention, Virginia Department of Health, Richmond, VA, USA.
Samuel Burgess4 STD/HIV Program, Louisiana Department of Health, New Orleans, LA, USA.
Jessica Fridge4 STD/HIV Program, Louisiana Department of Health, New Orleans, LA, USA.
Deborah Wendell4 STD/HIV Program, Louisiana Department of Health, New Orleans, LA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Care and Prevention in the United States Demonstration Project included implementation of a Data to Care strategy using surveillance and other data to (1) identify people with HIV infection in need of HIV medical care or other services and (2) facilitate linkages to those services to improve health outcomes. We present the experiences of 4 state health departments: Illinois, Louisiana, Tennessee, and Virginia.

methodsThe 4 state health departments used multiple databases to generate listings of people with diagnosed HIV infection (PWH) who were presumed not to be in HIV medical care or who had difficulty maintaining viral suppression from October 1, 2013, through September 29, 2016. Each health department prioritized the listings (eg, by length of time not in care, by viral load), reviewed them for accuracy, and then disseminated the listings to staff members to link PWH to HIV care and services.

resultsOf 16 391 PWH presumed not to be in HIV medical care, 9852 (60.1%) were selected for follow-up; of those, 4164 (42.3%) were contacted, and of those, 1479 (35.5%) were confirmed to be not in care. Of 794 (53.7%) PWH who accepted services, 694 (87.4%) were linked to HIV medical care. The Louisiana Department of Health also identified 1559 PWH as not virally suppressed, 764 (49.0%) of whom were eligible for follow-up. Of the 764 PWH who were eligible for follow-up, 434 (56.8%) were contacted, of whom 269 (62.0%) had treatment adherence issues. Of 153 PWH who received treatment adherence services, 104 (68.0%) showed substantial improvement in viral suppression.

conclusionsThe 4 health departments established procedures for using surveillance and other data to improve linkage to HIV medical care and health outcomes for PWH. To be effective, health departments had to enhance coordination among surveillance, care programs, and providers; develop mechanisms to share data; and address limitations in data systems and data quality.

Indexed as

Patient Acceptance of Health CarePublic Health AdministrationHealth Services AccessibilityHIV InfectionsHumansPublic Health SurveillanceUnited StatesCare and Prevention in the United States Demonstration ProjectData to CareHIVHIV surveillanceSecretary’s Minority AIDS Initiative Fund

Identifiers

PMID30457958
PMCPMC6262518

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.