Jessica Schmitt, Samantha A Devlin, Joseph A Mason, Jeff Lauritsen, Irina Tabidze, Eleanor E Friedman, Ruby A Massey, Nolan Winkler, Jessica P Ridgway
{"title":"芝加哥 \"数据到关怀 \"试点计划：经验、成果和未来方向。","authors":"Jessica Schmitt, Samantha A Devlin, Joseph A Mason, Jeff Lauritsen, Irina Tabidze, Eleanor E Friedman, Ruby A Massey, Nolan Winkler, Jessica P Ridgway","doi":"10.1097/PHH.0000000000001918","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Data to Care (D2C) involves sharing HIV surveillance data between health care facilities and health departments to improve continuity of care for people living with HIV (PLWH). The Chicago Department of Public Health (CDPH) initiated a D2C pilot program at the University of Chicago Medicine (UCM) from June 2016 to September 2019.</p><p><strong>Objectives: </strong>To describe the proportion of patients reported by UCM as not in care who were able to be matched to CDPH enhanced HIV/AIDS Reporting System (eHARS) and to report the individual-level factors associated with matching and viral suppression.</p><p><strong>Design: </strong>Retrospective program evaluation.</p><p><strong>Setting: </strong>UCM, an academic health care center that provides HIV care to adults via a Ryan White clinic on the south side of Chicago.</p><p><strong>Participants: </strong>Adult PLWH who had received care at UCM but did not have current documented HIV care visit(s).</p><p><strong>Main outcome measure: </strong>Proportion of matched patients; factors associated with matching and viral suppression.</p><p><strong>Results: </strong>Overall, 72.4% (n = 813/1123) of patients reported by UCM were matched by CDPH to eHARS. Individuals aged 40 to 49 years (odds ratio [OR] = 1.99; 95% confidence interval [CI], 1.10-3.62), 50 to 59 years (OR = 2.47; 95% CI, 1.37-4.47), and 60 years or older (OR = 6.18; 95% CI, 3.18-12.32) were more likely to match in eHARS. People who lived outside of Chicago (OR = 0.09; 95% CI, 0.05-0.15) or with unknown zip codes (OR = 0.08; 95% CI, 0.05-0.12) were less likely to match. Men who have sex with men and persons older than 50 years were more likely to be virally suppressed.</p><p><strong>Conclusions: </strong>D2C is an evidence-based strategy for reengagement of PLWH; however, program implementation relies on successful data matching. We found that a large proportion of patients from UCM were not matched, particularly those who were younger or lived outside of Chicago. Additional research is needed to understand ways to improve data matching to facilitate reengagement in HIV care.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"844-852"},"PeriodicalIF":2.2000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Data to Care Pilot Program in Chicago: Experience, Outcomes, and Direction for the Future.\",\"authors\":\"Jessica Schmitt, Samantha A Devlin, Joseph A Mason, Jeff Lauritsen, Irina Tabidze, Eleanor E Friedman, Ruby A Massey, Nolan Winkler, Jessica P Ridgway\",\"doi\":\"10.1097/PHH.0000000000001918\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Data to Care (D2C) involves sharing HIV surveillance data between health care facilities and health departments to improve continuity of care for people living with HIV (PLWH). The Chicago Department of Public Health (CDPH) initiated a D2C pilot program at the University of Chicago Medicine (UCM) from June 2016 to September 2019.</p><p><strong>Objectives: </strong>To describe the proportion of patients reported by UCM as not in care who were able to be matched to CDPH enhanced HIV/AIDS Reporting System (eHARS) and to report the individual-level factors associated with matching and viral suppression.</p><p><strong>Design: </strong>Retrospective program evaluation.</p><p><strong>Setting: </strong>UCM, an academic health care center that provides HIV care to adults via a Ryan White clinic on the south side of Chicago.</p><p><strong>Participants: </strong>Adult PLWH who had received care at UCM but did not have current documented HIV care visit(s).</p><p><strong>Main outcome measure: </strong>Proportion of matched patients; factors associated with matching and viral suppression.</p><p><strong>Results: </strong>Overall, 72.4% (n = 813/1123) of patients reported by UCM were matched by CDPH to eHARS. Individuals aged 40 to 49 years (odds ratio [OR] = 1.99; 95% confidence interval [CI], 1.10-3.62), 50 to 59 years (OR = 2.47; 95% CI, 1.37-4.47), and 60 years or older (OR = 6.18; 95% CI, 3.18-12.32) were more likely to match in eHARS. People who lived outside of Chicago (OR = 0.09; 95% CI, 0.05-0.15) or with unknown zip codes (OR = 0.08; 95% CI, 0.05-0.12) were less likely to match. Men who have sex with men and persons older than 50 years were more likely to be virally suppressed.</p><p><strong>Conclusions: </strong>D2C is an evidence-based strategy for reengagement of PLWH; however, program implementation relies on successful data matching. We found that a large proportion of patients from UCM were not matched, particularly those who were younger or lived outside of Chicago. Additional research is needed to understand ways to improve data matching to facilitate reengagement in HIV care.</p>\",\"PeriodicalId\":47855,\"journal\":{\"name\":\"Journal of Public Health Management and Practice\",\"volume\":\" \",\"pages\":\"844-852\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Public Health Management and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/PHH.0000000000001918\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health Management and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PHH.0000000000001918","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Data to Care Pilot Program in Chicago: Experience, Outcomes, and Direction for the Future.
Context: Data to Care (D2C) involves sharing HIV surveillance data between health care facilities and health departments to improve continuity of care for people living with HIV (PLWH). The Chicago Department of Public Health (CDPH) initiated a D2C pilot program at the University of Chicago Medicine (UCM) from June 2016 to September 2019.
Objectives: To describe the proportion of patients reported by UCM as not in care who were able to be matched to CDPH enhanced HIV/AIDS Reporting System (eHARS) and to report the individual-level factors associated with matching and viral suppression.
Design: Retrospective program evaluation.
Setting: UCM, an academic health care center that provides HIV care to adults via a Ryan White clinic on the south side of Chicago.
Participants: Adult PLWH who had received care at UCM but did not have current documented HIV care visit(s).
Main outcome measure: Proportion of matched patients; factors associated with matching and viral suppression.
Results: Overall, 72.4% (n = 813/1123) of patients reported by UCM were matched by CDPH to eHARS. Individuals aged 40 to 49 years (odds ratio [OR] = 1.99; 95% confidence interval [CI], 1.10-3.62), 50 to 59 years (OR = 2.47; 95% CI, 1.37-4.47), and 60 years or older (OR = 6.18; 95% CI, 3.18-12.32) were more likely to match in eHARS. People who lived outside of Chicago (OR = 0.09; 95% CI, 0.05-0.15) or with unknown zip codes (OR = 0.08; 95% CI, 0.05-0.12) were less likely to match. Men who have sex with men and persons older than 50 years were more likely to be virally suppressed.
Conclusions: D2C is an evidence-based strategy for reengagement of PLWH; however, program implementation relies on successful data matching. We found that a large proportion of patients from UCM were not matched, particularly those who were younger or lived outside of Chicago. Additional research is needed to understand ways to improve data matching to facilitate reengagement in HIV care.
期刊介绍：
Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.
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