FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313431090> ?p ?o ?g. }

• W4313431090 abstract "Abstract Background Rapid Start results in persons with HIV (PWH) initiating antiretroviral therapy (ART) in less than seven days. Benefits associated with Rapid Start include linkage to medical care and starting ART on the same day as diagnosis. These PWH were better retained in medical care and likely to achieve virologic suppression, in a shorter time, than those who did not have access to Rapid Start. Despite recommendations to initiate ART less than seven days after diagnosis, slow uptake of Rapid Start, in New Jersey were noted. Objective Identify knowledge, structural barriers and attitudes to Rapid Start, among New Jersey providers. Methods An electronic survey using Qualtrics consisting of 33 questions with the following domains: provider and practice characteristics (11), knowledge (1), structural barriers (9) and attitudes to diverse patient types was administered to New Jersey providers. The results were analyzed using descriptive statistics due to small numbers over strata. Approval to conduct this survey was obtained from the William Paterson University Institutional Review Board. Results The respondents were less than 55 years old (36/56, 64%), female (44/60, 73%), heterosexual (50/59, 85%), and nurse practitioners or physician assistants (41/59, 69%). Those who identified as internal medicine (9, 47%) or infectious disease (6, 60%) providers or worked in Ryan White (3, 30%) and non-Ryan White (6, 55%) practices correctly identified that integrase inhibitors had the lowest prevalence of transmitted resistance, when compared to those in private and other clinical settings. Newly diagnosed patients were referred for medical care in 37 (65%) of the medical sites. However, only providers from Ryan White (federally funded clinics for HIV patients) (64%) and non-Ryan White (73%) public sites reported co-located HIV testing sites. Seventy percent of medical sites reported that they offered same-day medical appointments. However, a lower proportion of private (62%), public Ryan White (55%), and other medical sites (36%) offered same-day appointments compared to public non-Ryan White sites (82%). Despite having staff available 40 hours per week (91%), only 55% of Ryan White sites offered extended office hours in the early morning, evenings, or on Saturdays. When compared to providers in public Ryan White sites, a higher proportions of providers in non-Ryan White sites were comfortable doing Rapid Start either on the day of or within one week of diagnosis, 72% and 82%, respectively, or starting ART before genotype results were available, 46% and 55%, respectively. Providers in public non-Ryan White sites were comfortable with Rapid Start for the following diverse groups of patients: with untreated mental illness (64%), engaging in unprotected sex (73%), with multiple partners (91%), actively using illicit drugs (91%), without health insurance (91%), homeless (100%), and with acute infection (82%). Conclusions Policy and administrative decisions are needed to eliminate structural barriers at the clinic level. Education on guideline recommendations and with diverse groups of patients will increase comfort with Rapid Start." @default.
• W4313431090 created "2023-01-06" @default.
• W4313431090 creator A5014015221 @default.
• W4313431090 creator A5037963754 @default.
• W4313431090 creator A5079366973 @default.
• W4313431090 creator A5083633496 @default.
• W4313431090 creator A5090980594 @default.
• W4313431090 date "2022-12-30" @default.
• W4313431090 modified "2023-09-30" @default.
• W4313431090 title "Knowledge, structural barriers and attitudes to HIV Rapid Start among New Jersey providers" @default.
• W4313431090 cites W1983233616 @default.
• W4313431090 cites W2013031584 @default.
• W4313431090 cites W2084493573 @default.
• W4313431090 cites W2095854035 @default.
• W4313431090 cites W2116318185 @default.
• W4313431090 cites W2363480212 @default.
• W4313431090 cites W2461009619 @default.
• W4313431090 cites W2496900837 @default.
• W4313431090 cites W2512229472 @default.
• W4313431090 cites W2524354866 @default.
• W4313431090 cites W2737303094 @default.
• W4313431090 cites W2773368011 @default.
• W4313431090 cites W2811379394 @default.
• W4313431090 cites W2906055116 @default.
• W4313431090 cites W2912609223 @default.
• W4313431090 cites W2943039121 @default.
• W4313431090 cites W2945082164 @default.
• W4313431090 cites W3029961878 @default.
• W4313431090 cites W3048881847 @default.
• W4313431090 cites W3115633897 @default.
• W4313431090 cites W3173422753 @default.
• W4313431090 doi "https://doi.org/10.1101/2022.12.27.22283980" @default.
• W4313431090 hasPublicationYear "2022" @default.
• W4313431090 type Work @default.
• W4313431090 citedByCount "0" @default.
• W4313431090 crossrefType "posted-content" @default.
• W4313431090 hasAuthorship W4313431090A5014015221 @default.
• W4313431090 hasAuthorship W4313431090A5037963754 @default.
• W4313431090 hasAuthorship W4313431090A5079366973 @default.
• W4313431090 hasAuthorship W4313431090A5083633496 @default.
• W4313431090 hasAuthorship W4313431090A5090980594 @default.
• W4313431090 hasBestOaLocation W43134310901 @default.
• W4313431090 hasConcept C105795698 @default.
• W4313431090 hasConcept C142462285 @default.
• W4313431090 hasConcept C160735492 @default.
• W4313431090 hasConcept C17744445 @default.
• W4313431090 hasConcept C199539241 @default.
• W4313431090 hasConcept C2993143319 @default.
• W4313431090 hasConcept C3013748606 @default.
• W4313431090 hasConcept C3018060332 @default.
• W4313431090 hasConcept C33923547 @default.
• W4313431090 hasConcept C39896193 @default.
• W4313431090 hasConcept C512399662 @default.
• W4313431090 hasConcept C71924100 @default.
• W4313431090 hasConceptScore W4313431090C105795698 @default.
• W4313431090 hasConceptScore W4313431090C142462285 @default.
• W4313431090 hasConceptScore W4313431090C160735492 @default.
• W4313431090 hasConceptScore W4313431090C17744445 @default.
• W4313431090 hasConceptScore W4313431090C199539241 @default.
• W4313431090 hasConceptScore W4313431090C2993143319 @default.
• W4313431090 hasConceptScore W4313431090C3013748606 @default.
• W4313431090 hasConceptScore W4313431090C3018060332 @default.
• W4313431090 hasConceptScore W4313431090C33923547 @default.
• W4313431090 hasConceptScore W4313431090C39896193 @default.
• W4313431090 hasConceptScore W4313431090C512399662 @default.
• W4313431090 hasConceptScore W4313431090C71924100 @default.
• W4313431090 hasLocation W43134310901 @default.
• W4313431090 hasOpenAccess W4313431090 @default.
• W4313431090 hasPrimaryLocation W43134310901 @default.
• W4313431090 hasRelatedWork W1973460911 @default.
• W4313431090 hasRelatedWork W2096903645 @default.
• W4313431090 hasRelatedWork W2115165681 @default.
• W4313431090 hasRelatedWork W2520411286 @default.
• W4313431090 hasRelatedWork W2887187324 @default.
• W4313431090 hasRelatedWork W2915885685 @default.
• W4313431090 hasRelatedWork W4244919073 @default.
• W4313431090 hasRelatedWork W4322484426 @default.
• W4313431090 hasRelatedWork W148066406 @default.
• W4313431090 hasRelatedWork W2522518582 @default.
• W4313431090 isParatext "false" @default.
• W4313431090 isRetracted "false" @default.
• W4313431090 workType "article" @default.