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 |