Assessing Antiretroviral Use During Gaps in HIV Primary Care Using Multisite Medicaid Claims and Clinical Data.

ABSTRACT:

Background

Some individuals who appear poorly retained by clinic visit-based retention measures are using antiretroviral therapy (ART) and maintaining viral suppression. We examined whether individuals with a gap in HIV primary care (≥180 days between HIV outpatient clinic visits) obtained ART during that gap after 180 days.

Setting

HIV Research Network data from 5 sites and Medicaid Analytic Extract eligibility and pharmacy data were combined.

Methods

Factors associated with having both an HIV primary care gap and a new (ie, nonrefill) ART prescription during a gap were evaluated with multinomial logistic regression.

Results

Of 6892 HIV Research Network patients, 6196 (90%) were linked to Medicaid data, and 4275 had any Medicaid ART prescription. Over half (54

SUBMITTER: Monroe AK 

PROVIDER: S-EPMC5588917 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature