Improved Viral Suppression from a Coordinated HIV Care Program: Impact of Key Comorbidities

Care coordination doubled viral suppression rates, although benefits were diminished by housing instability, stimulant use, and multiple comorbidities.

Assessments of obstacles to improved HIV-cascade care have identified populations at risk for poor outcomes. To address those populations (defined as newly HIV diagnosed or out-of-care patients, patients never prescribed antiretroviral therapy [ART] or on ART but with HIV levels >200 copies/mL, or patients with a new sexually transmitted disease within the last 6 months), Los Angeles County implemented a medical care coordination program. The program included outreach to newly diagnosed and out-of-care persons, linkage to care providers, assistance with navigation including accompaniment to appointments, ART adherence guidance, and warm hand-off referrals to mental health, chemical-dependency, and housing services.

These researchers analyzed…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Improved Viral Suppression from a Coordinated HIV Care Program: Impact of Key Comorbidities

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Reviewing Author