Evaluating patient outcomes and stakeholder perspectives in a novel healthcare transition clinic for young people living with HIV: a mixed methods study
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View abstract on PubMed
Summary
This summary is machine-generated.The Adolescent Young Adult Healthcare Transition (AYAHCT) clinic improved retention for adolescents and young adults living with HIV (AYAHIV). However, viral suppression needs further improvement, highlighting the need for enhanced support services.
Area Of Science
- Public Health
- Infectious Diseases
- Healthcare Management
Background
- Adolescents and young adults living with HIV (AYAHIV) face challenges in transitioning from pediatric to adult care, leading to poorer health outcomes.
- Health system interventions are crucial for improving retention and viral suppression in this population.
- The Adolescent Young Adult Healthcare Transition (AYAHCT) clinic was developed to address these specific needs.
Purpose Of The Study
- To evaluate the initial outcomes of a newly implemented AYAHCT clinic using a mixed-method approach.
- To assess patient retention in care and viral suppression rates during the transition period.
- To identify facilitators and barriers to successful implementation through stakeholder feedback.
Main Methods
- Retrospective quantitative analysis of clinical data from 2017-2023.
- Qualitative analysis of interviews with stakeholders from pediatric, AYAHCT, and adult HIV clinics.
- Mixed-method evaluation of a pilot cohort of 18 AYAHIV patients.
Main Results
- The pilot cohort demonstrated 100% retention in the AYAHCT clinic during the first year, with an average of 4.4 visits/year.
- Viral suppression was achieved in 70% of patients within the AYAHCT clinic.
- Of the 7 patients who transitioned to adult care, 85.7% maintained retention and 96.8% achieved viral suppression.
Conclusions
- The AYAHCT clinic model shows promise for maintaining high retention rates during HIV care transitions for AYAHIV.
- Low viral suppression rates indicate a need for targeted interventions addressing mental health, stigma, and case management.
- Qualitative findings provide valuable insights for optimizing program delivery and addressing systemic barriers in the Southern U.S.
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