Table 1.

Recommendations for Advancing the Science and Practice of Engagement in care by Patients Infected with Human Immunodeficiency Virus (HIV)

Domain	Recommendation(s)
Surveillance/evaluation	Develop integrated health informatics systems to collect real-time, actionable, patient-level surveillance of HIV testing and engagement in care activities at both local and national levels.
	Standardize national quality benchmarks for linkage and retention in care and hold agencies that provide HIV testing, prevention, treatment, and supportive service accountable for meeting minimum standards.
Information/education	Deploy educational and social marketing campaigns aimed at emphasizing the importance of engagement in HIV care.
	Incorporate engagement in care information in all HIV treatment guidelines as a component of an expanded spectrum of adherence beyond antiretroviral medications and in relation to testing, linkage to care plus (TLC+) initiatives.
Resource allocation	Critical assessment of current funding paradigm and appropriate reallocation of funds to optimize HIV testing, prevention, treatment, and care services to accurately reflect the needs of current HIV patient population.
	Allocation of federal HIV funds for dissemination and implementation of cost-effective, integrated TLC+ programs.
TLC+ service delivery	Coordinate activities from funding agencies and service delivery organizations that provide HIV testing, prevention, medical and supportive services to facilitate integrated TLC+ programs.
	Develop additional evidence-based individual- and systems-level interventions to improve linkage and retention in HIV care. Cost-effectiveness, dissemination, and implementation studies are notably lacking and are imperative to inform policy and practice decisions.