Failure to establish HIV care: characterizing the "no show" phenomenon.
It is estimated that up to one-third of persons with known human immunodeficiency virus (HIV) infection in the United States are not engaged in care. We evaluated factors associated with patients' failure to establish outpatient HIV care at our clinic and found that females, racial minorities, and patients lacking private health insurance were more likely to be "no shows." At the clinic level, longer waiting time from the call to schedule a new patient visit to the appointment date was associated with failure to establish care. Because increased numbers of patients will be in need of outpatient HIV care as a result of recent Centers for Disease Control and Prevention guidelines advocating routine HIV testing, it is imperative that strategies to improve access are developed to overcome the "no show" phenomenon.
Mugavero
Michael J
MJ
Division of Infectious Diseases and International Health, Department of Medicine, University of Alabama at Birmingham, USA. mmugavero@uab.edu
Lin
Hui-Yi
HY
Allison
Jeroan J
JJ
Willig
James H
JH
Chang
Pei-Wen
PW
Marler
Malcolm
M
Raper
James L
JL
Schumacher
Joseph E
JE
Pisu
Maria
M
Saag
Michael S
MS
D002487:Centers for Disease Control and Prevention, U.S.; D003376:Counseling; D003955:Diagnostic Tests, Routine; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006297:Health Services Accessibility; D006801:Humans; D015994:Incidence; D008913:Minority Groups; D016312:Treatment Refusal / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States