title: Linking recently diagnosed HIV-positive persons to medical care: perspectives of referring providers.
abstract: BACKGROUND
  quantitative results from clients participating in the Antiretroviral Treatment Access Studies-II (ARTAS-II) intervention have previously been published. The current report provides qualitative data from providers (agency staff who referred clients to ARTAS-II) concerning how the introduction of ARTAS-II case managers affected referrals to HIV care.
  
  
  METHODS
  referring providers from agencies that conducted HIV counseling and testing (community organizations, health care clinics, hospitals, and public health agencies) that had been asked to refer recently diagnosed HIV-positive individuals to ARTAS-II participated. Five ARTAS-II sites interviewed a total of 18 providers using a survey instrument of 11 open-ended questions. The questions covered interviewee characteristics (e.g., how long have you been in this position, job title) and questions related to the ARTAS-II project (e.g., before ARTAS-II, how did you link clients? what benefits have come from being part of the ARTAS-II program?)
  
  
  RESULTS
  prior to the ARTAS-II project, the referring providers described the referral process as ranging from uncertain to disorganized and chaotic. Referring providers reported the process improved dramatically following implementation of the project, with the transition from HIV testing to medical care becoming less complicated and less prone to delays. Recommendations from the providers for further improvement included increasing the number of ARTAS-II case managers, having the program staff use direct, face-to-face communication with staff at referring agencies, and increasing system integration by having ARTAS-II program staff be co-located in clinic settings.
  
  
  CONCLUSIONS
  the introduction of ARTAS-II case managers to receive referrals from HIV counseling and testing programs was widely viewed as a success by referring providers. ARTAS-II case managers were reported to fill a much needed role that strengthened the HIV service delivery system.
authors.affiliation: Louisiana Office of Public Health, HIV/AIDS Program, New Orleans, LA, USA. deann.gruber@la.gov
authors.forename: Deann
authors.initials: D
authors.lastname: Gruber
authors.forename: Peter
authors.initials: P
authors.lastname: Campos
authors.forename: Marcia
authors.initials: M
authors.lastname: Dutcher
authors.forename: Laurie
authors.initials: L
authors.lastname: Safford
authors.forename: Karen
authors.initials: K
authors.lastname: Phillips
authors.forename: Jason
authors.initials: J
authors.lastname: Craw
authors.forename: Lytt
authors.initials: L
authors.lastname: Gardner
mesh_terms: D001291:Attitude of Health Personnel; D019090:Case Management / Q000458:organization & administration; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy*; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D007407:Interviews as Topic; D018579:Patient Selection; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration*; D014481:United States