Determining barriers to continuity of care in a federally qualified health center (FQHC)
Tuesday, November 5, 2013
: 9:15 a.m. - 9:30 a.m.
Background: Continuity of care is linked to improved health outcomes and survival rates for persons living with HIV/AIDS, and mitigation of barriers to retention is vital to provide optimal health services to patients. There is a need to elucidate barriers from the patient and provider perspective in a federally qualified health center where financial challenges are largely absent. Methods: In-person interviews, telephone and mailed surveys were used to identify the challenges of engaging in and remaining in care. Assessment of the barriers faced, the extent to which the barrier is faced, and proposed solutions from patients and providers were considered using a standardized questionnaire for the three different delivery methods. Quantitative and qualitative analyses were used. Results: This research is in-progress and analysis is incomplete, however, the expected outcome is to provide a quantitative prioritization of barriers based on the frequency and intensity of the issues identified as hindering retention in care. The major barriers identified thus far have been: transportation, perceived financial barriers, stigma, lack of social support, substance abuse, personal beliefs, limited hours of providers, and changes in employment. Conclusion: The recommendations generated from this direct interaction with patients who have been lost to follow up or who frequently cancel appointments will have the potential to improve retention and health outcomes. Further research is needed to determine the most effective methods of improving continuity of care and delivery of services upon implementation.
Chronic disease management and prevention
Public health or related education
Identify barriers to continuity of care from the provider and patient perspective with an emphasis on proposed solutions.
Analyze the extent to which the identified barriers affect patient retention to allow for a prioritization of resources.
Develop policies and plans to mitigate the identified barriers and their effects on patient retention and health outcomes.
Keyword(s): HIV/AIDS, Treatment Adherence
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have been involved in HIV/AIDS research, advocacy and education for over 3 years both domestically and abroad, and have been a contributing author on two papers concerning HIV/AIDS. My masterâs thesis encompasses my research interests regarding treatment adherence for persons living with HIV/AIDS, and was conducted in collaboration with knowledgeable contributing authors with significant experience in the field.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.