The cyclical cascade of HIV care: Temporal care engagement trends within a population-wide cohort.
Jonathan EuvrardVenessa TimmermanClaire Marriott KeeneFlorence PhelanyaneAlexa HeekesBrian D RiceAnna GrimsrudPeter D EhrenkranzAndrew BoullePublished in: PLoS medicine (2024)
Using routine data, it was possible to populate and automate a cyclical cascade of HIV care that continuously captured the nonlinear care journeys of individuals living with HIV. In this generalised mature HIV epidemic, most people are treatment experienced. Disengagement is common and occurs at various points along the cascade, making it challenging to identify high-impact intervention opportunities. While historical HIV cascades remain valuable for target setting and service monitoring, they can be complemented with insights from more detailed cyclical cascades.
Keyphrases
- healthcare
- antiretroviral therapy
- hiv positive
- hiv infected
- hiv testing
- human immunodeficiency virus
- palliative care
- hepatitis c virus
- hiv aids
- quality improvement
- men who have sex with men
- randomized controlled trial
- mental health
- pain management
- social media
- electronic health record
- south africa
- big data
- clinical practice
- machine learning