Continuity of Care is Associated with Higher Appointment Adherence Among HIV Patients in Low Clinician-to-Patient Ratio Facilities in Western Kenya
We sought to determine the relationship between continuity of care and adherence to clinic appointments among patients receiving HIV care in high vs. low clinician-to-patient (C:P) ratios facilities in western Kenya. This retrospective analysis included 12,751 patients receiving HIV care from the Ac...
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| Veröffentlicht in: | AIDS and behavior 2022-11, Vol.26 (11), p.3516-3523 |
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| creator | Wachira, Juddy Mwangi, Ann Genberg, Becky Ngeresa, Anthony Galárraga, Omar Kimayo, Sylvester Dick, Jonathan Braitstein, Paula Wilson, Ira Hogan, Joseph |
| description | We sought to determine the relationship between continuity of care and adherence to clinic appointments among patients receiving HIV care in high vs. low clinician-to-patient (C:P) ratios facilities in western Kenya. This retrospective analysis included 12,751 patients receiving HIV care from the Academic Model Providing Access to Healthcare (AMPATH) program, between February 2016–2019. We used logistic regression analysis with generalized estimating equations to estimate the relationship between continuity of care (two consecutive visits with the same provider) and adherence to clinic appointments (within 7 days of a scheduled appointment) over time. Adjusting for covariates, patients in low C:P ratio facilities who had continuity of care, were more likely to be adherent to their appointments compared to those without continuity (adjusted odds ratio = 1.50; 95% confidence interval, 1.33–1.69). Continuity in HIV care may be a factor in clinical adherence among patients in low C:P ratio facilities and should therefore be promoted. |
| doi_str_mv | 10.1007/s10461-022-03686-6 |
| format | Article |
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This retrospective analysis included 12,751 patients receiving HIV care from the Academic Model Providing Access to Healthcare (AMPATH) program, between February 2016–2019. We used logistic regression analysis with generalized estimating equations to estimate the relationship between continuity of care (two consecutive visits with the same provider) and adherence to clinic appointments (within 7 days of a scheduled appointment) over time. Adjusting for covariates, patients in low C:P ratio facilities who had continuity of care, were more likely to be adherent to their appointments compared to those without continuity (adjusted odds ratio = 1.50; 95% confidence interval, 1.33–1.69). Continuity in HIV care may be a factor in clinical adherence among patients in low C:P ratio facilities and should therefore be promoted.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-022-03686-6</identifier><identifier>PMID: 35467227</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Appointments and Schedules ; Clinics ; Confidence intervals ; Continuity of care ; Continuity of Patient Care ; Developing countries ; Health Psychology ; Health services ; HIV ; HIV Infections - epidemiology ; HIV Infections - therapy ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Kenya - epidemiology ; LDCs ; Medical appointments ; Medicine ; Medicine & Public Health ; Original Paper ; Patient compliance ; Patients ; Public Health ; Regression analysis ; Retrospective Studies ; Statistical analysis</subject><ispartof>AIDS and behavior, 2022-11, Vol.26 (11), p.3516-3523</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. 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This retrospective analysis included 12,751 patients receiving HIV care from the Academic Model Providing Access to Healthcare (AMPATH) program, between February 2016–2019. We used logistic regression analysis with generalized estimating equations to estimate the relationship between continuity of care (two consecutive visits with the same provider) and adherence to clinic appointments (within 7 days of a scheduled appointment) over time. Adjusting for covariates, patients in low C:P ratio facilities who had continuity of care, were more likely to be adherent to their appointments compared to those without continuity (adjusted odds ratio = 1.50; 95% confidence interval, 1.33–1.69). Continuity in HIV care may be a factor in clinical adherence among patients in low C:P ratio facilities and should therefore be promoted.</description><subject>Appointments and Schedules</subject><subject>Clinics</subject><subject>Confidence intervals</subject><subject>Continuity of care</subject><subject>Continuity of Patient Care</subject><subject>Developing countries</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Kenya - epidemiology</subject><subject>LDCs</subject><subject>Medical appointments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Patient compliance</subject><subject>Patients</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1u1DAUhS0EomXgBVggS2zYuPgndpJlFLVM1ZFAiJ-l5Th3pq4Se7AdVfMcvDBuZwCJBatr3fPdc698EHrN6AWjtH6fGK0UI5RzQoVqFFFP0DmTtSCCy-ppedOWkpopeYZepHRHKW1V3T5HZ0JWqua8Pkc_--Cz84vLBxy2uDcRsEu4SylYZzKM-N7lW7x2u1uIuNvvg_N5Bp9xN5YOeAu4m4Pf4fX1N_zJZFe0hJ3Hm3CP-8l5V3w8yYGcRPy51ICvjHWTK51H-DukDNHjG_AH8xI925opwatTXaGvV5df-jXZfPxw3XcbYgVXmYhRsNrKoZWybiyn1dDYhrJGDapteMPZKFpoQTYcDNjBiMG0omp4xYSqBlGJFXp39N3H8GMpF-jZJQvTZDyEJWmupHz4aCoK-vYf9C4s0ZfrNK-5KNtEKSvEj5SNIaUIW72PbjbxoBnVD076GJkukenHyLQqQ29O1ssww_hn5HdGBRBHIBXJ7yD-3f0f21-i_6Di</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Wachira, Juddy</creator><creator>Mwangi, Ann</creator><creator>Genberg, Becky</creator><creator>Ngeresa, Anthony</creator><creator>Galárraga, Omar</creator><creator>Kimayo, Sylvester</creator><creator>Dick, Jonathan</creator><creator>Braitstein, Paula</creator><creator>Wilson, Ira</creator><creator>Hogan, Joseph</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20221101</creationdate><title>Continuity of Care is Associated with Higher Appointment Adherence Among HIV Patients in Low Clinician-to-Patient Ratio Facilities in Western Kenya</title><author>Wachira, Juddy ; Mwangi, Ann ; Genberg, Becky ; Ngeresa, Anthony ; Galárraga, Omar ; Kimayo, Sylvester ; Dick, Jonathan ; Braitstein, Paula ; Wilson, Ira ; Hogan, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-3d317c5b95578c204b8c80186b6982821d39e9e582eaecba3ba9348241364b343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Appointments and Schedules</topic><topic>Clinics</topic><topic>Confidence intervals</topic><topic>Continuity of care</topic><topic>Continuity of Patient Care</topic><topic>Developing countries</topic><topic>Health Psychology</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - therapy</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Kenya - epidemiology</topic><topic>LDCs</topic><topic>Medical appointments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Patient compliance</topic><topic>Patients</topic><topic>Public Health</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wachira, Juddy</creatorcontrib><creatorcontrib>Mwangi, Ann</creatorcontrib><creatorcontrib>Genberg, Becky</creatorcontrib><creatorcontrib>Ngeresa, Anthony</creatorcontrib><creatorcontrib>Galárraga, Omar</creatorcontrib><creatorcontrib>Kimayo, Sylvester</creatorcontrib><creatorcontrib>Dick, Jonathan</creatorcontrib><creatorcontrib>Braitstein, Paula</creatorcontrib><creatorcontrib>Wilson, Ira</creatorcontrib><creatorcontrib>Hogan, Joseph</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wachira, Juddy</au><au>Mwangi, Ann</au><au>Genberg, Becky</au><au>Ngeresa, Anthony</au><au>Galárraga, Omar</au><au>Kimayo, Sylvester</au><au>Dick, Jonathan</au><au>Braitstein, Paula</au><au>Wilson, Ira</au><au>Hogan, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuity of Care is Associated with Higher Appointment Adherence Among HIV Patients in Low Clinician-to-Patient Ratio Facilities in Western Kenya</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>26</volume><issue>11</issue><spage>3516</spage><epage>3523</epage><pages>3516-3523</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>We sought to determine the relationship between continuity of care and adherence to clinic appointments among patients receiving HIV care in high vs. low clinician-to-patient (C:P) ratios facilities in western Kenya. This retrospective analysis included 12,751 patients receiving HIV care from the Academic Model Providing Access to Healthcare (AMPATH) program, between February 2016–2019. We used logistic regression analysis with generalized estimating equations to estimate the relationship between continuity of care (two consecutive visits with the same provider) and adherence to clinic appointments (within 7 days of a scheduled appointment) over time. Adjusting for covariates, patients in low C:P ratio facilities who had continuity of care, were more likely to be adherent to their appointments compared to those without continuity (adjusted odds ratio = 1.50; 95% confidence interval, 1.33–1.69). Continuity in HIV care may be a factor in clinical adherence among patients in low C:P ratio facilities and should therefore be promoted.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35467227</pmid><doi>10.1007/s10461-022-03686-6</doi><tpages>8</tpages></addata></record> |
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| subjects | Appointments and Schedules Clinics Confidence intervals Continuity of care Continuity of Patient Care Developing countries Health Psychology Health services HIV HIV Infections - epidemiology HIV Infections - therapy Human immunodeficiency virus Humans Infectious Diseases Kenya - epidemiology LDCs Medical appointments Medicine Medicine & Public Health Original Paper Patient compliance Patients Public Health Regression analysis Retrospective Studies Statistical analysis |
| title | Continuity of Care is Associated with Higher Appointment Adherence Among HIV Patients in Low Clinician-to-Patient Ratio Facilities in Western Kenya |
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