Extending The Continuum of Care—HIV Primary Care By The Infectious Disease Physician

Results: Of the 1,248 active members, 644 (52%) responded to the survey. Among the 644 respondents, 431 (67%) routinely treat HIV patients in outpatient settings. Of these 431 respondents, a majority (326, 75%) acted as primary care physicians for at least some of their HIV patients. Percentage of responders who reported always/mostly performing a screening assessment as recommended per guidelines were: 1) Screening specific to HIV (tuberculosis 95%, genital chlamydia/gonorrhea 77%, hepatitis C 67%, extra genital chlamydia/gonorrhea 47%, baseline anal pap smear for men 36% and women 34%); 2) Primary care related screening (fasting lipids 95%, colonoscopy 95%, mammogram 90%, cervical pap smears 88%, depression screening 57%, osteoporosis for postmenopausal women 55% and men >50yrs 33%). The most common barriers reported were: screening declined by patient (72%), non-adherence to HIV medications (43%), having other health priorities (44%), not enough time for clinic visit (43%) and financial or insurance limitations (40%).