Short-term effectiveness of HIV care coordination among persons with recent HIV diagnosis or history of poor HIV outcomes

摘要: The New York City HIV Care Coordination Program (CCP) combines multiple evidence-based strategies to support persons living with (PLWH) at risk for, or a recent history of, poor outcomes. We assessed the comparative effectiveness of CCP by merging programmatic data on clients population-based surveillance all PLWH. A non-CCP comparison group similar PLWH who met eligibility criteria was identified using data. and groups were matched propensity for enrollment within four baseline treatment status (newly diagnosed previously either consistently unsuppressed, inconsistently suppressed suppressed). compared proportions viral load suppression 12-month follow-up. Among 13,624 included, 15∙3% newly diagnosed; among 84∙7% diagnosed, 14∙2% suppressed, 28∙9% 41∙6% unsuppressed in year prior baseline. At follow-up, 59∙9% 53∙9% participants had (Relative Risk = 1.11, 95%CI:1.08–1.14). those baseline, relative versus 1.15 (95%CI:1.09–1.23) 1.32 (95%CI:1.23–1.42), respectively. exposure shows benefits over no but not recommend more targeted case finding increased attention maintenance.