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1 July 2007

Volume 45, Number 1
Clinical Infectious Diseases 2007;45:127–130
1058-4838/2007/4501-0023$15.00
DOI: 10.1086/518587
HIV/AIDS BRIEF REPORT

Failure to Establish HIV Care: Characterizing the “No Show” Phenomenon

Michael J. Mugavero,1

Hui‐Yi Lin,3

Jeroan J. Allison,2

James H. Willig,1

Pei‐Wen Chang,1

Malcolm Marler,1

James L. Raper,1

Joseph E. Schumacher,2

Maria Pisu,2 and

Michael S. Saag1

Divisions of 1Infectious Diseases and International Health and 2Preventive Medicine, and 3Medical Statistics Section, Department of Medicine, University of Alabama at Birmingham, Birmingham

It is estimated that up to one‐third of persons with known human immunodeficiency virus (HIV) infection in the United States are not engaged in care. We evaluated factors associated with patients’ failure to establish outpatient HIV care at our clinic and found that females, racial minorities, and patients lacking private health insurance were more likely to be “no shows.” At the clinic level, longer waiting time from the call to schedule a new patient visit to the appointment date was associated with failure to establish care. Because increased numbers of patients will be in need of outpatient HIV care as a result of recent Centers for Disease Control and Prevention guidelines advocating routine HIV testing, it is imperative that strategies to improve access are developed to overcome the “no show” phenomenon.

Received 15 December 2006; accepted 28 February 2007; electronically published 23 May 2007.

Reprints or correspondence: Dr. Michael J. Mugavero, 908 20th St. South, CCB 178, Birmingham, AL 35294‐2050 ().

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