Healthcare provider attitudes, practices, and recommendations for enhancing routine HIV testing and linkage to care in the mississippi delta region

Nathan Sison, Annajane Yolken, Joanna Poceta, Leandro Mena, Philip A. Chan, Arti Barnes, Erin Smith, Amy Nunn

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The Mississippi Delta region is one of the communities most heavily impacted by HIV/AIDS in the United States. To understand local provider attitudes and practices regarding HIV testing and care, we conducted 25 in-depth qualitative interviews with local primary care providers and infectious disease specialists. Interviews explored attitudes and practices regarding HIV testing and linkage to care. Most providers did not routinely offer HIV testing, noting financial barriers, financial disincentives to offer routine screening, misperceptions about local informed consent laws, perceived stigma among patients, and belief that HIV testing was the responsibility of the health department. Barriers to enhancing treatment and care included stigma, long distances, lack of transportation, and paucity of local infectious disease specialists. Opportunities for enhancing HIV testing and care included provider education programs regarding billing, local HIV testing guidelines, and informed consent, as well as telemedicine services for underserved counties. Although most health care providers in our study did not currently offer routine HIV testing, all were willing to provide more testing and care services if they were able to bill for routine testing. Increasing financial reimbursement and access to care, including through the Affordable Care Act, may provide an opportunity to enhance HIV/AIDS services in the Mississippi Delta.

Original languageEnglish (US)
Pages (from-to)511-517
Number of pages7
JournalAIDS Patient Care and STDs
Volume27
Issue number9
DOIs
StatePublished - Sep 1 2013

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Mississippi
Health Personnel
HIV
Informed Consent
Communicable Diseases
Acquired Immunodeficiency Syndrome
Patient Protection and Affordable Care Act
Interviews
Telemedicine
Motivation
Primary Health Care
Guidelines
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Healthcare provider attitudes, practices, and recommendations for enhancing routine HIV testing and linkage to care in the mississippi delta region. / Sison, Nathan; Yolken, Annajane; Poceta, Joanna; Mena, Leandro; Chan, Philip A.; Barnes, Arti; Smith, Erin; Nunn, Amy.

In: AIDS Patient Care and STDs, Vol. 27, No. 9, 01.09.2013, p. 511-517.

Research output: Contribution to journalArticle

Sison, Nathan ; Yolken, Annajane ; Poceta, Joanna ; Mena, Leandro ; Chan, Philip A. ; Barnes, Arti ; Smith, Erin ; Nunn, Amy. / Healthcare provider attitudes, practices, and recommendations for enhancing routine HIV testing and linkage to care in the mississippi delta region. In: AIDS Patient Care and STDs. 2013 ; Vol. 27, No. 9. pp. 511-517.
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