Mixed Methods Analysis of Telehealth Experience, Satisfaction, and Quality of Care During the COVID Pandemic Among Persons with HIV in Washington, DC.
The purpose of this study is to describe telehealth experiences and quality of HIV care provided to an urban population of people with HIV (PWH) in Washington, DC. We used self-reported survey data from a cohort of PWH in the DC Cohort longitudinal study linked to medical records (October 26, 2020–D...
| Publicado en: | AIDS & Behavior Vol. 28; no. 3; pp. 912 - 924 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175676027&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175676027 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Mar2024 vid: 28 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175676027 173127021 175676027 175676027 10.1007/s10461-023-04198-7 175676027 ppf: 912 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mixed Methods Analysis of Telehealth Experience, Satisfaction, and Quality of Care During the COVID Pandemic Among Persons with HIV in Washington, DC. aug: au: Barth, Shannon K. Saulters, Kacie J. Balba, Gayle P. Monroe, Anne K. Horberg, Michael A. Kumar, Princy N. Greenberg, Alan E. Castel, Amanda D. affil: https://ror.org/00y4zzh67 Department of Epidemiology, The George Washington University Milken Institute School of Public Health, 950 New Hampshire Avenue NW, Suite 500, 20052, Washington, DC, USA sug: subj: Telehealth Psychosocial Factors Patient Satisfaction Evaluation Quality of Health Care Evaluation COVID-19 Pandemic HIV-Positive Persons District of Columbia Patient Attitudes Evaluation Urban Areas HIV Infections Therapy Human Multimethod Studies District of Columbia Funding Source Self Report Prospective Studies Record Review Logistic Regression Disease Attributes Motivation Open-Ended Questionnaires Coding Conceptual Framework Descriptive Statistics High School Graduates Confidence Intervals Comorbidity Health Services Accessibility Transportation Emergency Service Technology ab: The purpose of this study is to describe telehealth experiences and quality of HIV care provided to an urban population of people with HIV (PWH) in Washington, DC. We used self-reported survey data from a cohort of PWH in the DC Cohort longitudinal study linked to medical records (October 26, 2020–December 31, 2021). Analyses followed a mixed-methods approach, including prevalence estimates and multivariable logistic regression of telehealth use by demographic and HIV characteristics. We measured primary motivation, modes of engagement, and telehealth satisfaction. Qualitative responses to open-ended questions were coded using collaborative coding. A framework developed by the National Quality Forum (NQF) was applied to the results. Among 978 participants, 69% reported using telehealth for HIV care during the pandemic. High school graduates were less likely to use telehealth compared to those with college education (aOR 0.69, 95% CI 0.48, 0.98). PWH with > 1 co-morbid condition were more likely to use telehealth compared to those without (aOR 1.42, 95% CI 1.02, 1.95). The majority reported satisfaction with telehealth (81%). Qualitative analysis of telehealth satisfaction found that most responses were related to access to care and technology, effectiveness, and patient experience. PWH using telehealth during the pandemic were satisfied with their experience though use differed demographically. Telehealth was used effectively to overcome barriers to care engagement, including transportation, costs, and time. As we transition away from the emergency pandemic responses, it will be important to determine how this technology can be used in the future in an equitable manner to further strengthen HIV care engagement. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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