Factors Associated with Missed Psychiatry Visits in an Urban HIV Clinic.

Academic Article

Abstract

  • Psychiatric co-management is often required in HIV primary care. While rates and clinical impact of linkage and retention in HIV are well explored, fewer investigations focus specifically on linkage to psychiatry. In this investigation, we evaluate factors associated with linkage to psychiatric services using a retrospective cohort study of HIV-infected patients during a two-year observation period. Descriptive statistics depict patient characteristics, and logistic regression models were fit to evaluate factors associated with failure to establish care at the co-located psychiatry clinic following referral from HIV provider. Of 370 referred, 23 % did not attend a scheduled psychiatry appointment within 6 months of initial referral. In multivariable analysis, Non-white race, younger age, non-suppressed viral load, and increased wait time to appointment (in days) were associated with failure to attend. Further exploration of barriers that contribute to disparate linkage to psychiatric care may inform future interventions to improve HIV outcomes in this population.
  • Published In

  • AIDS and Behavior  Journal
  • Keywords

  • Adult, Ambulatory Care Facilities, Appointments and Schedules, CD4 Lymphocyte Count, Delivery of Health Care, Depression, Female, Follow-Up Studies, HIV Infections, Humans, Logistic Models, Male, Middle Aged, Office Visits, Patient Acceptance of Health Care, Primary Health Care, Referral and Consultation, Retrospective Studies, Risk Factors, Socioeconomic Factors, Urban Population, Viral Load
  • Digital Object Identifier (doi)

    Author List

  • Ho CP; Zinski A; Fogger SA; Peters JD; Westfall AO; Mugavero MJ; Lawrence ST; Nevin CR; Raper JL; Saag MS
  • Start Page

  • 1423
  • End Page

  • 1429
  • Volume

  • 19
  • Issue

  • 8