Role of Visit Modality in the HIV-Related No-Shows During the COVID-19 Pandemic: A Multisite Retrospective Cohort Study

AIDS Behav. 2023 Aug;27(8):2478-2487. doi: 10.1007/s10461-022-03973-2. Epub 2023 Jan 12.

Abstract

The emergence of the COVID-19 pandemic necessitated rapid expansion of telehealth as part of healthcare delivery. This study compared HIV-related no-shows by visit type (in-person; video; telephone) during the COVID-19 pandemic (April 2020-September 2021) from the Data for Care Alabama project. Using all primary care provider visits, each visit's outcome was categorized as no-show or arrived. A logistic regression model using generalized estimating equations accounting for repeat measures in individuals and within sites calculated odds ratios (OR) and their accompanying 95% confidence interval (CI) for no-shows by visit modality. The multivariable models adjusted for sociodemographic factors. In-person versus telephone visits [OR (95% CI) 1.64 (1.48-1.82)] and in-person versus video visits [OR (95% CI) 1.53 (1.25-1.85)] had higher odds of being a no-show. In-person versus telephone and video no-shows were significantly higher. This may suggest success of telehealth visits as a method for HIV care delivery even beyond COVID-19.

Keywords: HIV; No shows; Retention in care; Telehealth; Visit modality.

MeSH terms

  • Alabama / epidemiology
  • COVID-19* / epidemiology
  • HIV Infections* / epidemiology
  • Humans
  • Pandemics
  • Retrospective Studies
  • Telemedicine*