Here’s a look at how emergency room experiences affect linkage to care and retention in care among patients with HIV.
Among the highlights gleaned today from CROI in a session on “Economic Implications of ART”
Linkage to care from US emergency rooms to clinics is critical to controlling the HIV epidemic.
Dr Thomas C. Quinn, from the National Institute of Allergy and Infectious Diseases, and Dr Lucia V. Torian, from the New York City Department of Health and Mental Hygiene, presented the long-term Johns Hopkins Hospital (JHH) and New York City emergency room experiences, respectively, with linkage to care and retention in care.1,2
Much work remains to be done, but the cost-effectiveness ratio for the effort is extremely favorable. And, as one questioner put it, “if a clinic in rural Guinea, in the middle of an Ebola outbreak, only experienced an 11% drop in clinic visits among the HIV-infected, all of us in the United States should be able to do a much better job of retaining our patients in care.”
1. Kelen G, Patel EU, Hsieh Y-H, et al. Impact of Emergency Department HIV Testing and Linkage to Care: 25 Years’ Experience. Abstract 98; 2015 CROI; Seattle; 23 – 26 February 2015.
2. Wiewel EW, Torian LV, Xia Q, Braunstein SL. Linkage to Care and Viral Suppression Among New HIV Diagnoses, New York City, 2006-13. Abstract 99; 2015 CROI; Seattle; 23 – 26 February 2015.
3. Ike N, Hernandez AL, An Q, et al. Care and Viral Suppression Among Women, 18 US Jurisdictions. Abstract 100; 2015 CROI; Seattle; 23 – 26 February 2015.
4. Schackman BR, Fleishman J, Su A, et al. The Lifetime Medical Cost Savings From Preventing HIV in the United States. Abstract 1104; 2015 CROI; Seattle; 23 – 26 February 2015.
5. Bor J, Moscoe E, Chimbindi N. The Cost-Effectiveness of Early ART Initiation in South Africa: A Quasi- Experiment. Abstract 1110; 2015 CROI; Seattle; 23 – 26 February 2015.
6. Leuenberger D, HÃ©bÃ©lamou J, Strahm S, et al. Impact of the Ebola Epidemic on HIV Care in Macenta, Forest Guinea, 2014. Abstract 103LB; 2015 CROI; Seattle; 23 – 26 February 2015.