Quality of HIV Care in Ryan White Supported vs Non-Supported Facilities
Author Information
Author(s): Patrick S. Sullivan, Maxine Denniston, Eve Mokotoff, Susan Buskin, Stephanie Broyles, A. D. McNaghten
Primary Institution: Centers for Disease Control and Prevention
Hypothesis
Is the quality of HIV care better in facilities supported by the Ryan White Program compared to those that are not?
Conclusion
HIV care quality in Ryan White-supported facilities was at least as good as in non-supported facilities, with some areas showing better care.
Supporting Evidence
- Patients in RWP-supported facilities were more likely to receive recommended prophylaxis for certain infections.
- Women in RWP-supported facilities were more likely to receive annual Pap smears.
- Overall compliance with care guidelines was at least as good in RWP-supported facilities.
Takeaway
This study looked at how well people with HIV are treated in different clinics, finding that those in clinics with special funding often get better care.
Methodology
Data was collected from medical records of patients receiving HIV care in three states, comparing care quality between RWP-supported and non-supported facilities.
Potential Biases
Potential bias due to non-participation of some facilities and underestimation of care received outside the sampled facility.
Limitations
Some facilities refused to participate, which could introduce bias, and data were only collected from the facility where the patient was sampled.
Participant Demographics
Patients included were from King County, Louisiana, and Michigan, with varying demographics across these regions.
Statistical Information
P-Value
p=0.06 for patient load in Michigan, p=0.07 for Louisiana
Confidence Interval
95% CI for various outcomes reported
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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