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Assessment of a medical outreach program to improve access to HIV care among marginalized individuals

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  • Cunningham, C.O.
  • Sanchez, J.P.
  • Heller, D.I.
  • Sohler, N.L.

Abstract

Marginalized populations are disproportionately affected by HIV, yet they have poor access to health services. Outreach programs focus on improving access, but few are evaluated. We assessed a medical outreach program targeting unstably housed, HIV-infected individuals. We extracted data from 2003-2005 to examine whether keeping medical appointments was associated with patient and program characteristics. Patients kept appointments more frequently when they were walk-in or same-day appointments (compared with future appointments; adjusted odds ratio [AOR]=1.69; 95% confidence interval [CI]=1.38, 2.08), when they were at a community-based organization's drop-in center (compared with single-room occupancy hotels; AOR=2.50; 95% CI=1.54, 4.17), or when made by nonmedical providers (compared with medical providers; future appointments: AOR=1.38; 95% CI=1.05, 1.80; same-day appointments: AOR=1.70; 95% CI=1.03, 2.81). These findings demonstrate the importance of program-related characteristics in health services delivery to marginalized populations.

Suggested Citation

  • Cunningham, C.O. & Sanchez, J.P. & Heller, D.I. & Sohler, N.L., 2007. "Assessment of a medical outreach program to improve access to HIV care among marginalized individuals," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1758-1761.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.090878_0
    DOI: 10.2105/AJPH.2006.090878
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