New York City’s HIV Care Coordination Programme (CCP) has unveiled significant differences in service preferences between its clients and healthcare providers, according to a recent study. The research highlights the importance of tailoring support services to better align with the needs and values of individuals living with HIV.
Study Overview and Methodology
Conducted between January 2020 and March 2021, the study surveyed 152 providers and 181 clients across 25 Ryan White Part A-funded CCPs in New York City. Utilizing a discrete choice experiment, the research assessed preferences for four key CCP components: assistance with antiretroviral therapy (ART) adherence, support for primary care appointments, help with non-primary care issues, and the location of program visits. By analyzing both visit location and travel time, the study aimed to present a comprehensive comparison of client and provider preferences.
Key Findings on Service Preferences
The findings revealed that clients prioritize support with ART adherence and prefer receiving medication reminders via phone or text. Additionally, clients favored remote program visits through phone or video chat, indicating a preference for lower-intensity services. In contrast, providers showed a stronger inclination towards higher-intensity services, emphasizing the importance of assistance with non-primary care issues and valuing connections to specialty medical care. Providers also preferred longer travel times for program visits, highlighting a focus on in-person interactions.
- Clients favor less intensive support services, focusing on ART adherence and remote interactions.
- Providers advocate for more comprehensive services, including specialty care connections and in-person visits.
- There is a notable demographic difference, with a higher percentage of Hispanic providers and Black non-Hispanic clients.
- Both groups predominantly identify as women, suggesting gender plays a role in service preferences.
The disparity in preferences underscores the necessity for CCPs to engage clients actively in decision-making processes. By fostering a collaborative approach, programs can better align their services with the actual needs of those they aim to support, ultimately enhancing care engagement and treatment outcomes.
Tailoring CCP services to match client preferences can lead to improved satisfaction and adherence to treatment plans. Incorporating clients’ voices into program design ensures that the support provided is both relevant and effective, bridging the gap between client expectations and provider offerings. This alignment is crucial for the success of HIV care initiatives and the overall well-being of individuals living with HIV in New York City.
Investing in client-centered service models not only addresses the immediate needs of patients but also fosters a more inclusive and supportive healthcare environment. As CCPs continue to evolve, prioritizing the preferences and values of clients will be key to achieving long-term health outcomes and sustaining engagement in care.
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