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Year:: 2024
Contributor:: Del Valle, Daniel (Author); Chan, Philip (Author); Salhaney, Peter (Author); Anandarajah, Gowri (Author)
Subject:: HIV; Open Door Health
DOI: https://doi.org/10.26300/2mhg-9y32

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Abstract:: Background: Approximately 1.2 million people live with HIV in the US. HIV disproportionately affects vulnerable populations, including men who have sex with men (MSM), transgender women, Black and Latino populations, and people who inject drugs (IDUs). Management of HIV primarily occurs in a primary care setting. Objective: Open Door Health (ODH) is the sole LGBTQ+ clinic in Rhode Island, providing primary care to urban underserved populations, including many people living with HIV in the Providence area. This study evaluated HIV-specific care at ODH according to guidelines established by the CDC. Methods: Design: A chart audit was conducted of the 118 patients living with HIV who receive primary care at ODH. Setting: Data was collected at ODH. Instruments: Data was collected using athenaOne EMR. Analysis: Basic statistical analysis was carried out using Microsoft Excel. Evaluation: “Core measures”—i.e. essential aspects of care established in accordance with CDC guidelines—were utilized to assess HIV-specific care at ODH. Results: Compliance was evaluated by determining the proportion of patients whose care complied with CDC guidelines. Each core measure was analyzed independently. Viral suppression was achieved in 89.0% of patients. ARV medication was prescribed to 99.2% of patients. 86.4 % of patients had an HIV-related medical visit within the last six months. Absolute CD4+ count was >200 cells/mm³ for 88.1% of patients. Conclusions/Discussion: ODH demonstrated compliance with CDC guidelines in over 85% of its patients across all measures. Notably, because some patients receive HIV-specific care elsewhere, these percentages are likely higher. ODH might thus serve as a model for clinics providing HIV-specific care to urban underserved populations. To improve HIV-specific care, structural barriers that may prevent patients from receiving the full scope of care at ODH should be addressed.

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Del Valle, Daniel, Chan, Philip, Salhaney, Peter, et al., "Assessing Effectiveness of HIV-Specific Care at Open Door Health" (2024). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/2mhg-9y32

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Assessing Effectiveness of HIV-Specific Care at Open Door Health