TABLE 2.

Clinical Practices and Practice Characteristics of HIV Medical Providers Prescribing ART, MMP Provider Survey, 2013–2014 (N = 1199^*)

	No.	Wt. %†	95% CI
Threshold for initiating ART if no barriers or contraindications to ART:
Treat regardless of CD4 count	889	71.2	64.6 to 77.8
CD4 count <200 cells/mm3	9	1.2‡	0.1 to 2.3
CD4 count <350 cells/mm3	62	8.7	5.2 to 12.1
CD4 count <500 cells/mm3	221	18.9	14.3 to 23.5
Percentage of patients for whom provider currently defers, for any reason, prescribing ART
0%	130	17.0	12.7 to 21.4
1%–10%	863	69.6	64.9 to 74.3
Over 10%	178	13.3	9.5 to 17.2
Among patients for whom they defer prescribing ART, percentage of providers who cite factor for at least half of patients
Patient refusal or unwillingness to commit to treatment	657	59.4	53.8 to 65.0
Patient has medical problem that may make long-term adherence difficult (eg, substance abuse, mental health, or other illness)	333	31.1	26.8 to 35.4
Patient has social issue that may make long-term adherence difficult (eg, homeless, incarcerated, migrant)	243	21.4	17.3 to 25.5
Inability to pay for medications or medication coverage delays	80	10.5	4.1 to 16.9
Inability to construct an effective regimen with acceptable side effects	23	1.4‡	0.5 to 2.2
Does not agree with current guidelines to treat HIV-infected patients at all CD4 levels	30	3.2‡	0.7 to 5.7
Practice provides on-site adherence counseling	927	54.2	43.9 to 64.6
Practice provides on-site mental health services	799	45.1	36.8 to 53.4
Practice provides on-site substance abuse treatment	433	23.5	17.3 to 29.6
Practice provides on-site case management	850	50.8	41.5 to 60.1
Practice uses an integrated team	874	54.1	45.6 to 62.6
Facility uses an electronic medical record	759	62.2	48.9 to 75.5

^*The number of eligible providers who indicated on the survey that they prescribed ART was 1999.

^†Values exclude “don’t know” responses.

^‡Coefficient of variation is greater than 0.30, estimate may be unreliable.

Wt., weighted.