Barriers to Rapid Enrollment and ART Initiation Among U.S. HIV Care Facilities.

ABSTRACT:

Background

Rapid linkage to HIV care and antiretroviral therapy (ART) initiation is now the standard of care for treating people with HIV (PWH). Understanding and intervening on barriers to rapid enrollment and ART initiation are needed to meet the goals of the Ending the HIV Epidemic in the U.S. initiative.

Methods

We analyzed 2021 data from the Medical Monitoring Project on characteristics of 455 facilities providing care to a national probability sample of U.S. PWH.

Results

Overall, only 19.9% (95% CI 16.0%-23.9%) of HIV facilities could routinely offer a first appointment in <1 business day (rapid enrollment). The most commonly reported barriers to rapid enrollment were insufficient provider capacity (56%), patient preference (50%), and patients lacking required d

SUBMITTER: O'Shea J 

PROVIDER: S-EPMC12378994 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature