Evidence map›Paper›PMID 32484744›Full record

ArticleAIDS patient care and STDs2020

"It's Me as a Person, Not Me the Disease": Patient Perceptions of an HIV Care Model Designed to Engage Persons with Complex Needs.

Kristin Beima-Sofie, Emily R Begnel, Matthew R Golden, Allison Moore, Meena Ramchandani, Julia C Dombrowski

Open access · bronzeAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.4field-weighted citation impact, top 25% of its field
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

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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  9. Implementation of Low-Barrier Human Immunodeficiency Virus Care: Lessons Learned From the Max Clinic in Seattle.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. AIDS patient care and STDs · 2021
    Article
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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

6 authors at 2 institutions in 1 country.

Kristin Beima-SofieDepartment of Global Health, University of Washington, Seattle, Washington, USA.
Emily R BegnelDepartment of Global Health, University of Washington, Seattle, Washington, USA.
Matthew R GoldenDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Allison MooreHIV/STD Program, Public Health-Seattle & King County, Seattle, Washington, USA.
Meena RamchandaniDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Julia C DombrowskiDepartment of Medicine, University of Washington, Seattle, Washington, USA.
University of Washington · USPublic Health – Seattle & King County · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
Low-Threshold Incentivized HIV Care for Persons with Substance Use DisordersR03DA042668 · NIDA · UNIVERSITY OF WASHINGTON · PI DOMBROWSKI, JULIA COOK · 2016 to 2017
$309k
NIAID NIH HHS P30 AI027757NIDA NIH HHS R03 DA042668
6 · The paper itself

Abstract

Ending the HIV epidemic will require dedicated efforts to engage the highest need persons living with HIV (PLWH) in treatment. We assessed patient perceptions of a clinic in Seattle, Washington, that is designed for PLWH who do not engage in conventional HIV care. The Max Clinic provides walk-in access to care, incentives for blood draws and achieving viral suppression, and intensive case management. We conducted semistructured individual interviews with 25 patients purposively recruited to obtain diverse viewpoints. Interviews were audio-recorded and transcribed. Analysis used a constant comparative approach to identify major themes related to the components of the program. For many participants, engagement in the Max Clinic was the first time they had success with HIV treatment. Relationships with clinic staff and the ability to receive care on a walk-in basis had the strongest influences on engagement. Participants felt that Max Clinic staff attended to their social circumstances in ways that were distinct from prior care experiences. Walk-in visits removed perceived stigma associated with failure to keep appointments and provided immediate attention to acute concerns. Financial incentives initially motivated participants to attend clinic and take medications, but were less important for supporting ongoing engagement in care. Food incentives motivated patients to seek care and helped them focus on health issues. In summary, patients identified walk-in access to care, monetary and food incentives, and relationships with clinic staff, particularly case managers, as the key elements of an HIV clinic model for high-need PLWH.

Indexed as

MotivationSocial StigmaAdultAmbulatory Care FacilitiesAnti-HIV AgentsCase ManagementContinuity of Patient CareFemaleHealth BehaviorHealth Services AccessibilityHIV InfectionsHumansInterviews as TopicMalePatient Acceptance of Health CareProgram EvaluationAnti-HIV Agentsengagement in careHIV care continuumhomelessnessmental healthsubstance use

Identifiers

PMID32484744
PMCPMC7262637
OpenAlexW3030869603

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.