Lost To Care: Strategies For Encouraging HIV/AIDS Patients to Return To Primary Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/147633
Type:
Presentation
Title:
Lost To Care: Strategies For Encouraging HIV/AIDS Patients to Return To Primary Care
Abstract:
Lost To Care: Strategies For Encouraging HIV/AIDS Patients to Return To Primary Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Emanuele, Thomas E., BSN, RN-C, ACRN
P.I. Institution Name:Dallas County Hospital District dba Parkland Health & Hospital System
Title:HIV Case Management Supervisor
Co-Authors:Jose A. Sanchez, BS; Carlos Cuellar, CPhT
[Evidence-based presentation] Background/Purpose: Over a four-year period our HIV Program utilized para-professional Client Advocates to locate and return over 900 patients formerly lost to care. The top ten reasons given by located clients for leaving care are examined to provide information to program planners to develop strategies and services that may address these barriers. Methods/Practice: Database was searched to find patients whose last primary care visit was greater than 12 months and the information given to the client advocates pursuing contact. Attempts were made via telephone, letter, certified letter and utilization of a field worker. Social Security and Bureau of Vital Statistics databases were searched as well. When a patient was located they were asked why they had chosen to leave care. Data was catalogued and reviewed. Conclusions: The top ten reasons given for leaving primary care were ranked and were as follows: patient feels well; unaware of appointments; work schedule; substance use; relocation; patient expired; incarceration; health insurance; transferred care to another facility; hospitalization. Implications for Practice: This study examines these reasons with discussion on the nature of the barriers, and implications for service delivery and program planning.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLost To Care: Strategies For Encouraging HIV/AIDS Patients to Return To Primary Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147633-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Lost To Care: Strategies For Encouraging HIV/AIDS Patients to Return To Primary Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Emanuele, Thomas E., BSN, RN-C, ACRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Dallas County Hospital District dba Parkland Health &amp; Hospital System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">HIV Case Management Supervisor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">temanu@parknet.pmh.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jose A. Sanchez, BS; Carlos Cuellar, CPhT</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based presentation] Background/Purpose: Over a four-year period our HIV Program utilized para-professional Client Advocates to locate and return over 900 patients formerly lost to care. The top ten reasons given by located clients for leaving care are examined to provide information to program planners to develop strategies and services that may address these barriers. Methods/Practice: Database was searched to find patients whose last primary care visit was greater than 12 months and the information given to the client advocates pursuing contact. Attempts were made via telephone, letter, certified letter and utilization of a field worker. Social Security and Bureau of Vital Statistics databases were searched as well. When a patient was located they were asked why they had chosen to leave care. Data was catalogued and reviewed. Conclusions: The top ten reasons given for leaving primary care were ranked and were as follows: patient feels well; unaware of appointments; work schedule; substance use; relocation; patient expired; incarceration; health insurance; transferred care to another facility; hospitalization. Implications for Practice: This study examines these reasons with discussion on the nature of the barriers, and implications for service delivery and program planning.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:31Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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