Exploring the Feasibility of an Electronic Tool for Predicting Retention in HIV Care: Provider Perspectives

Jacqueline Kromash, Eleanor E. Friedman, Samantha A. Devlin (), Jessica Schmitt, John M. Flores and Jessica P. Ridgway
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Jacqueline Kromash: Pritzker School of Medicine, University of Chicago, 924 E. 57th Street, Suite 104, Chicago, IL 60637, USA
Eleanor E. Friedman: Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA
Samantha A. Devlin: Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA
Jessica Schmitt: Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA
John M. Flores: Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA
Jessica P. Ridgway: Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, MC 5065, Chicago, IL 60637, USA

IJERPH, 2024, vol. 21, issue 6, 1-10

Abstract: Retention in care for people living with HIV (PLWH) is important for individual and population health. Preemptive identification of PLWH at high risk of lapsing in care may improve retention efforts. We surveyed providers at nine institutions throughout Chicago about their perspectives on using an electronic health record (EHR) tool to predict the risk of lapsing in care. Sixty-three percent (20/32) of providers reported currently assessing patients’ risk for lapsing in care, and 91% (29/32) reported willingness to implement an EHR tool. When compared to those with other job roles, prescribers agreed (vs. neutral) that the tool would be less biased than personal judgment (OR 13.33, 95% CI 1.05, 169.56). Prescribers were also more likely to identify community health workers as persons who should deliver these interventions (OR 10.50, 95% CI 1.02, 108.58). Transportation, housing, substance use, and employment information were factors that providers wanted to be included in an EHR-based tool. Social workers were significantly more likely to indicate the inclusion of employment information as important (OR 10.50, 95% CI 1.11, 98.87) when compared to other participants. Acceptability of an EHR tool was high; future research should investigate barriers and evaluate the effectiveness of such a tool.

Keywords: retention in care; HIV; EHR; implementation science; providers; prescribers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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