Two client-level databases were linked to create an unduplicated list of individuals receiving services from Central Virginia Title 2 program. The list was matched with HARS database to identify names and characteristics of service population. This list was then matched with the MCV Hospital Infectious Disease Clinic patient-level database. A representative sample of 300 was drawn and Title 2 case management and medical records were reviewed and data abstracted. Core independent variables included demographic characteristics, lab test results, and ancillary services (case management, outreach, child care, transportation, translation, respite care, patient education and others). Dependent variables are entry into, retention in, and utilization of primary care. Results show that ancillary services increase the likelihood of retention and utilization of primary care. Case management was shown to increase the utilization of primary care services. Case management and patient education were shown to increase the likelihood of retention in primary care with odd-ratio scores of 12.77 and 4.26 respectively. The impact of these services varied among various sub-populations. Those clients receiving case management and/or other ancillary services are more likely than others to meet standards for primary care entry, retention and utilization.
Learning Objectives: 1. Describe the advantages and limitations of a client-level data system for evaluating RWCA services. 2. Identify necessary support services to facilitate retention in, and utilization of primary care. 3. Identify data elements that are relevant for medical access and outcomes research
Keywords: Access to Health Care, HIV/AIDS
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.