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REACH: a mixed-methods study to investigate the measurement, prediction and improvement of retention and engagement in outpatient HIV care |
Howarth A, Apea V, Michie S, Morris S, Sachikonye M, Mercer C, Evans A, Delpech V, Sabin C & Burns F |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Howarth A, Apea V, Michie S, Morris S, Sachikonye M, Mercer C, Evans A, Delpech V, Sabin C & Burns F. REACH: a mixed-methods study to investigate the measurement, prediction and improvement of retention and engagement in outpatient HIV care. Health Services and Delivery Research 2017; 5(13) Authors' objectives To explore, describe and understand human immunodeficiency virus (HIV) outpatient attendance in people living with human immunodeficiency virus (PLWH), in order to develop cost-effective interventions to optimise engagement in care.
Antiretroviral therapy (ART) benefits individuals living with HIV through reduced morbidity and mortality, and brings public health gains through a reduction in HIV transmission. PLWH need to know their HIV status and engage in HIV care in order for these individual and public health benefits to be realised. Authors' conclusions The study shows the adverse health impacts of disengaging from HIV care and demonstrates the importance of the wider health and social context in managing HIV effectively. Although phase 1 analysis was based on UK data, phases 2 and 3 were limited to London. The interventions proposed are supported by the data but their cost-effectiveness requires testing. Future research is needed to evaluate the interventions, to validate our retention risk tool across populations and settings, and to fully analyse the economic costs of disengaging from HIV care. Indexing Status Subject indexing assigned by CRD MeSH Ambulatory Care; HIV Infections; Humans; Outpatients; Patient Acceptance of Health Care Language Published English Country of organisation England English summary An English language summary is available. Address for correspondence HS&DR Programme, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, University of Southampton, Alpha House, Enterprise Road, Southampton, SO16 7NS, UK Tel: +44 23 8059 4304
Email: hsdrinfo@southampton.ac.uk AccessionNumber 32017000191 Date abstract record published 04/04/2017 |
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