Univariate and Multivariate Cox Regression Analysis of Factors Associated with Lost-To-Follow-Up (LTFU)

<p>Univariate and Multivariate Cox Regression Analysis of Factors Associated with Lost-To-Follow-Up (LTFU)</p

Kaplan-Meier LTFU Estimates by Baseline CD4 Cell Count of Participants, 2005–2011.

<p>The event of interest is LTFU—missing appointments for more than three months after the last scheduled visit or administrative censoring. People who died or transferred out their care to other facilities were censored.</p

Socio-demographic and Baseline Clinical Characteristics of Participants.

<p>Socio-demographic and Baseline Clinical Characteristics of Participants.</p

Factors associated with patient recall of key information in ambulatory specialty care visits: Results of an innovative methodology

<div><p>While some studies have assessed patient recall of important information from ambulatory care visits, none has done so recently. Furthermore, little is known about features of clinical interactions which are associated with patient understanding and recall, without which shared decision making, a widely shared ideal for patient care, cannot occur. Our objective was to evaluate characteristics of patients and outpatient encounters associated with patient recall of information after one week, along with observation of elements of shared decision making. This was an observational study based on coded transcripts of 189 outpatient encounters, and post-visit interviews with patients 1 week later. Coding used three previously validated systems, adopted for this study. Forty-nine percent of decisions and recommendations were recalled accurately without prompting; 36% recalled with a prompt; 15% recalled erroneously or not at all. Provider behaviors hypothesized to be associated with patient recall, such as open-questioning and “teach back,” were rare. Patients with less than high school education recalled 38% of items freely and accurately, while patients with a college degree recalled 65% (p < .0001). In a multivariate model, the total number of items to be recalled per visit, and percentage of utterances in decision-making processes by the provider (“verbal dominance”), were significant predictors of poorer recall. The item count was associated with poorer recall for lower, but not higher, educated patients.</p></div

Multivariable ordered logit model predicting patient recall.

<p>Multivariable ordered logit model predicting patient recall.</p

Data structure.

<p>Data structure.</p

Recall quality of medical and behavioral resolutions and patient level of formal education (N, row % within category).

<p>Recall quality of medical and behavioral resolutions and patient level of formal education (N, row % within category).</p

Clinician beliefs and reported practices regarding early antiretroviral treatment (n = 105), New England, 2013.

<p>Participants were presented with statements about early antiretroviral treatment and asked to indicate their degree of agreement (strongly agree, agree, disagree, strongly disagree). Numbers within bars represent the percentage of respondents selecting each response category. Blue shading represents agreement, whereas red shading represents disagreement. Data are restricted to clinicians who have prescribed antiretroviral therapy to at least 1 HIV-infected patient in the prior year.</p

Clinicians’ perceived barriers to prescribing pre-exposure prophylaxis (n = 155), New England, 2013.

<p>Numbers within bars represent the percentage of participants selecting each response category. Data are restricted to clinicians from specialties for which PrEP prescribing may be feasible, i.e., those that involve provision of longitudinal medical care.</p

Clinician beliefs regarding pre-exposure prophylaxis (n = 181), New England, 2013.

<p>Participants indicated their degree of agreement (strongly agree, agree, neutral, disagree, strongly disagree) to statements about pre-exposure prophylaxis. Numbers within bars represent the percentage of respondents selecting each response category. Blue shading represents agreement, neutral shading represents neutrality, and red shading represents disagreement.</p