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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: J Acquir Immune Defic Syndr. 2013 Nov 1;64(0 1):S7–13. doi: 10.1097/QAI.0b013e3182a90183

Table 3.

Barriers to linkage to care by organization type and testing volume.

All Organizations (n=43) CBOs (n=10) Hospitals (n=11) Clinics (n=22) Infrequent testers (n=7) Moderate testers (n=13) Frequent testers (n=21)

Barrier 25th Median 75th 25th Median 75th 25th Median 75th 25th Median 75th 25th Median 75th 25th Median 75th 25th Median 75th
Staff knowledge/skill/experience 1 1 2 1 1 2 1 1 1 1 1 2 1 1 1 1 1 2 1 1 2
Staff time 1 1 3 1 1 1 1 1 2 1 1 3 1 1 4 1 1 2 1 1 3
Staff size 1 1 3 1 1 1 1 1 3 1 1 4 1 1 4 1 1 3 1 1 3
Facilities/space 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 1 1 1
No established procedure or protocol in place 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Amount of dedicated funding 1 1 4 1 1.5 5 1 1 3 1 1 4 1 1 2 1 1 4 1 2 3
Ability to charge/reimburse 1 1 3 1 1 1 1 1 3 1 1 4 1 1 2 1 1 1 1 1 3
Leadership resistance 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Staff resistance 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1
Staff cultural competency/comfort with issue 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Unsure where to refer clients identified as HIV+ 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Client refusal 1 2 3 2 2.5 3 1 1 3 1 2 3 1 1 3 1 1 2 1 2 3
Negative experience with linkage 1 1 3 1 2.5 4 1 1 1 1 2 3 1 1 2 1 1 2 1 1 3
Requirement to notify clients of results 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 1 1 1 1 1 1