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Title

Effects of a Laboratory Health Information Exchange Intervention on Antiretroviral Therapy Use, Viral Suppression, and Racial/Ethnic Disparities (Journal of Acquired Immune Deficiency Syndromes)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Use of Health Services; Population Focus; Racial and Ethnic Groups; African-American; Hispanic/Latino; Health Behaviors; Chronic Condition Prevalence

Publication Type

Journal Article

Publication Date

2017-07-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=479&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=479&RootFolder=*">William E. Cunningham, MD, MPH</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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Abstract

​Although antiretroviral therapy (ART) is available to treat HIV+ persons and prevent transmission, ineffective delivery of care may delay ART use, impede viral suppression (VS), and contribute to racial/ethnic disparities along the continuum of care. This study tested the effects of a bi-directional laboratory health information exchange (LHIE) intervention on each of these outcomes. Authors examined whether LHIE intervention improved ART use and VS, and reduced racial/ethnic disparities in these outcomes among HIV+ 1,181 patients in a comprehensive HIV/AIDS clinic in Southern California.

Overall, the intervention predicted greater odds of ART use and VS in the final models that included sociodemographic, behavioral, and clinical covariates. Before the intervention, there were significant black/white disparities in ART use and VS. After the intervention, the black/white disparities decreased after adjusting for sociodemographics and the number of HIV care visits, and Latinos had greater odds than whites of ART use and VS, adjusting for covariates.

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Article 1

Journal Article: Effects of a Laboratory Health Information Exchange Intervention on Antiretroviral Therapy Use, Viral Suppression, and Racial/Ethnic Disparities

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Last modified at 7/3/2017 8:01 AM by i:0#.f|uclachissqlmembershipprovider|venetia