TABLE 5.
Barriers to Providing HIV/AIDS, HCV, and STI Services Reported by the 1,723 Program Cliniciansa
| Barrier | Medical Services
|
Non-Medical Services
|
||||||
|---|---|---|---|---|---|---|---|---|
| Patient Medical History and Physical Examination |
Patient Biological Testing |
Patient Treatment |
Patient Monitoring |
Provider Education |
Patient Education |
Patient Risk Assessment |
Patient Counseling |
|
| HIV/AIDS | ||||||||
| Government regulations | 430 (28.5) | 542 (35.8) | 560 (37.0) | 533 (35.6) | 422 (27.5) | 411 (26.9) | 376 (24.7) | 373 (24.5) |
| Treatment program policies | 420 (27.8) | 553 (36.5) | 507 (33.5) | 531 (35.5) | 391 (25.5) | 377 (24.7) | 361 (23.7) | 385 (25.3) |
| Staff training | 506 (33.5) | 603 (39.8) | 648 (42.8) | 669 (44.7) | 712 (46.4) | 690 (45.2) | 630 (41.4) | 661 (43.4) |
| Funding (grants/contracts) | 911 (60.4) | 1,042 (68.8) | 1,086 (71.7) | 1,033 (69.0) | 1,119 (73.4) | 1,060 (69.4) | 921 (60.5) | 995 (65.3) |
| Patient/client health insurance benefits | 934 (61.9) | 1,026 (67.8) | 1,089 (71.9) | 1,012 (67.6) | 844 (55.0) | 904 (59.2) | 851 (55.9) | 949 (62.3) |
| Patient/client acceptance | 644 (42.7) | 752 (49.7) | 783 (51.7) | 756 (50.5) | 517 (33.7) | 738 (48.3) | 705 (46.3) | 749 (49.2) |
| Staff acceptance | 376 (24.9) | 472 (31.2) | 453 (29.9) | 455 (30.4) | 456 (29.7) | 435 (28.5) | 437 (28.7) | 445 (29.2) |
| Other barrier | 311 (20.6) | 347 (22.9) | 345 (22.8) | 343 (22.9) | 310 (20.2) | 313 (20.5) | 309 (20.3) | 311 (20.4) |
| HCV | ||||||||
| Government regulations | 369 (29.9) | 431 (34.9) | 446 (36.1) | 433 (35.2) | 355 (28.4) | 341 (27.4) | 329 (26.1) | 332 (26.5) |
| Treatment program policies | 393 (31.8) | 487 (39.5) | 474 (38.4) | 485 (39.5) | 373 (29.8) | 372 (29.9) | 384 (30.5) | 389 (31.1) |
| Staff training | 438 (35.5) | 523 (42.4) | 561 (45.4) | 565 (46.0) | 631 (50.5) | 644(51.8) | 565 (44.9) | 598 (47.8) |
| Funding (grants/contracts) | 751 (60.8) | 853 (69.1) | 889 (72.0) | 849 (69.1) | 896 (71.7) | 857 (68.9) | 781 (62.0) | 829 (66.3) |
| Patient/client health insurance benefits | 766 (62.0) | 849 (68.8) | 874 (70.8) | 816 (66.4) | 675 (54.0) | 720 (57.9) | 703 (55.8) | 778 (62.2) |
| Patient/client acceptance | 510 (41.3) | 644 (52.2) | 706 (57.2) | 622 (50.6) | 406 (32.5) | 562 (45.2) | 550 (43.7) | 603 (48.2) |
| Staff acceptance | 287 (23.2) | 360 (29.2) | 346 (28.0) | 360 (29.3) | 343 (27.4) | 316 (25.4) | 335 (26.6) | 342 (27.3) |
| Other barrier | 238 (19.3) | 252 (20.4) | 261 (21.1) | 267 (21.7) | 239 (19.1) | 239 (19.2) | 248 (19.7) | 238 (19.0) |
| STI | ||||||||
| Government regulations | 346 (28.3) | 391 (32.1) | 380 (31.2) | 394 (32.4) | 314 (25.6) | 336 (27.2) | 312 (25.1) | 317 (25.8) |
| Treatment program policies | 361 (29.5) | 446 (36.6) | 433 (35.6) | 434 (35.7) | 360 (29.3) | 351 (28.4) | 350 (28.1) | 364 (29.6) |
| Staff training | 425 (34.7) | 480 (39.4) | 510 (41.9) | 519 (42.7) | 604 (49.2) | 616 (49.8) | 525 (42.2) | 549 (44.7) |
| Funding (grants/contracts) | 731 (59.7) | 797 (65.4) | 832 (68.4) | 799 (65.8) | 836 (68.1) | 818 (66.1) | 735 (59.1) | 793 (64.5) |
| Patient/client health insurance benefits | 723 (59.1) | 784 (64.3) | 806 (66.2) | 757 (62.3) | 620 (50.5) | 674 (54.5) | 652 (52.4) | 721 (58.7) |
| Patient/client acceptance | 515 (42.1) | 564 (46.3) | 607 (49.9) | 593 (48.8) | 414 (33.7) | 584 (47.2) | 556 (44.7) | 587 (47.8) |
| Staff acceptance | 278 (22.7) | 319 (26.2) | 316 (26.0) | 337 (27.7) | 316 (25.7) | 314 (25.4) | 311 (25.0) | 334 (27.2) |
| Other barrier | 233 (19.0) | 250 (20.5) | 246 (20.2) | 245 (20.2) | 239 (19.5) | 234 (18.9) | 233 (18.7) | 231 (18.8) |
a
All data are presented as no. (%)
HIV = human immunodeficiency virus; HCV = hepatitis C virus; STI = sexually transmitted infections.