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AIDS and Behavior
Published in: AIDS and Behavior 1/2015

01-01-2015 | Original Paper

Determinants of HIV Outpatient Service Utilization: A Systematic Review

Authors: Aline Brennan, Deirdre Morley, Aisling C. O’Leary, Colm J. Bergin, Mary Horgan

Published in: AIDS and Behavior | Issue 1/2015

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Abstract

Demands on HIV services are increasing as a consequence of the increased life-expectancy of HIV patients in the highly active antiretroviral therapy era. Understanding the factors that influence utilization of ambulatory HIV services is useful for planning service provision. This study reviewed factors associated with utilization of hospital based HIV out-patient services. Studies reporting person-based utilization rates of HIV-specific outpatient services broken down by patient or healthcare characteristics were eligible for inclusion. The Andersen Behavioral Model was used to organize the information extracted into pre-disposing, enabling and need components. Ten studies were included in the final review. Older age, private insurance, urban residence, lower CD4 counts, a diagnosis of AIDS, or anti-retroviral treatment were associated with higher utilization rates. The results of this review are consistent with existing knowledge regarding HIV patients’ use of health services. Little information was identified on the influence of health service characteristics on utilization of out-patient services.
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Metadata
Title
Determinants of HIV Outpatient Service Utilization: A Systematic Review
Authors
Aline Brennan
Deirdre Morley
Aisling C. O’Leary
Colm J. Bergin
Mary Horgan
Publication date
01-01-2015
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2015
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0814-z

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