Care pathways for people living with HIV who were treated at the hospital in 2012

Objectives: The living conditions of people living with HIV (PLHIV) were the subject of a national survey (Vespa2). To complement this, we sought to describe PLHIV’s use of healthcare services. Patients and methods: A multicenter cross-sectional survey of PLHIV who visited 59 hospital departments (belonging to 21 Corevih centers) on a specific day in October 2012. Results: A total of 653 PLHIV participated in the survey (median age 48 years, 32% women, 58% in precarious living conditions). The median duration of follow-up was 12 years (IQR: [5–19]), 86% had been on antiretroviral therapy for more than one year, of whom 59% had CD4 counts ≥500/mm³ and 83% had a viral load <50 copies/mL. The frequency of hospital follow-up was every 3 to 4 months for 58%, more frequent for 11%, and less frequent for 32%. Over the past six months, the average number of medical visits was 3.8 (± 4.2), and 64% of patients consulted a general practitioner or a private specialist. Since their HIV diagnosis, 13% of patients have faced denial of care. HIV status was not disclosed to 20% of the private specialists consulted recently. Conclusion: This survey confirms the importance of effective coordination of care between private practice and the hospital. The precarious living conditions of PLHIV must be taken into account, as well as their difficulty in disclosing their HIV status to healthcare providers. (R.A.)

Author(s): Jacomet C, Cormerais L, Peyrol F, Guiguet M, Simon A, Berland P, Rey D, Arvieux C, Pugliese P, Gerbaud L

Publishing year: 2014

Pages: 422-8

Weekly Epidemiological Bulletin, 2014, n° 24-25, p. 422-8

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