Table 3.

Associations of Provider and Practice Characteristics with Providing Comprehensive Adherence Support.^a,^b

Provider Characteristic	Sample size	Weighted row % (CI)	Rao-Scott χ2 P Value	PR (CI)	P Value
Qualifications and practice experience
Certification type			.0004
Nurse practitioner	138	65.9 (57.2–74.6)		1.93 (1.50–2.48)	<.0001
Physician assistant	29	48.6 (22.4–74.7)		1.42 (0.79–2.56)	.28
ID board-certified MD	227	34.1 (25.1–43.1)		Referent	–
Other board-certified MD	145	41.5 (29.0–54.1)		1.22 (0.88–1.69)	.25
Non-board-certified MD	33	45.4 (22.2–68.6)		1.33 (0.77–2.31)	.34
HIV-infected patients for whom you provide continuous and direct care			.009
≤20	38	29.7 (13.4–46.1)		0.60 (0.34–1.06)	.05
21–50	86	33.7 (21.0–46.5)		0.68 (0.45–1.04)	.06
51–200	222	47.2 (38.2–56.2)		0.96 (0.77–1.20)	.71
>200	217	49.2 (40.4–58.0)		Referent	–
Years caring for HIV patients			.001
0–10	230	51.8 (40.6–63.0)		1.67 (1.20–2.33)	.003
11–20	203	42.0 (31.0–53.0)		1.36 (1.00–1.85)	.06
>20	137	30.9 (22.7–39.2)		Referent	–
HIV specialist (HIVMA criteria or AAHIV-S)			.15
No	151	38.0 (25.6–50.5)		Referent
Yes	426	46.1 (38.8–53.4)		1.21 (0.90–1.64)	.19
Provides primary care			<.0001
No	36	26.1 (15.9–36.2)		Referent	–
Yes	539	46.2 (37.8–54.6)		1.77 (1.25–2.50)	.0003
Facility characteristics
Works at a facility that receives Ryan White funding			.0006
No	107	31.7 (19.4–44.0)		Referent	–
Yes	418	52.9 (46.8–59.1)		1.67 (1.12–2.48)	.004
Works in private practice			.003
No	477	50.2 (44.0–56.5)		Referent
Yes	100	32.6 (19.7–45.6)		0.65 (0.44–0.95)	.01
On-site supportive services provided by facility Substance abuse treatment			.007
No	348	38.9 (29.1–48.8)		Referent	–
Yes	229	55.3 (47.0–63.6)		1.42 (1.04–1.94)	.02
Mental health services			.05
No	162	36.7 (24.0–49.5)		Referent	–
Yes	415	50.2 (43.6–56.7)		1.37 (0.95–1.96)	.07
Case management			.08
No	139	37.1 (25.2–49.0)		Referent	–
Yes	438	48.3 (40.0–56.5)		1.30 (0.95–1.78)	.08
Consultations or programs designed to improve ART adherence			.25
No	115	38.4 (24.0–52.7)		Referent	–
Yes	462	46.4 (40.8–52.1)		1.21 (0.84–1.74)	.27
Satisfaction with HIV medical practice Satisfied or very satisfied with:
Salary and reimbursement			.69
No	364	42.8 (34.7–50.9)		Referent	–
Yes	212	44.6 (33.9–55.2)		1.04 (0.86–1.26)	.68
Amount of time required and available for documentation/administrative work			.17
No	380	40.9 (32.6–49.2)		Referent	–
Yes	193	47.6 (35.8–59.3)		1.16 (0.94–1.44)	.18
Work schedule/on-call responsibilities			.42
No	209	40.9 (27.6–54.1)		Referent	–
Yes	365	45.6 (38.2–52.9)		1.12 (0.84–1.48)	.42
Support services to assist with patient care			.56
No	252	41.3 (29.5–53.1)		Referent	–
Yes	323	44.9 (36.6–53.2)		1.09 (0.82–1.44)	.56
Support and coverage from other HIV providers			.79
No	143	44.0 (31.1–56.9)		Referent	–
Yes	429	42.7 (35.0–50.4)		0.97 (0.77–1.23)	.80
Availability of specialists for consultation and referral			.66
No	194	44.9 (34.5–55.4)		Referent	–
Yes	379	42.1 (32.0–52.3)		0.94 (0.70–1.25)	.66
Effort required to keep up with clinical and/or pharmaceutical advances			.40
No	217	39.9 (26.8–53.1)		Referent	–
Yes	356	45.2 (37.6–52.8)		1.13 (0.83–1.54)	.41

Abbreviations: No., sample size; 95% CI, 95% confidence interval; ART, antiretroviral therapy; MMP, medical monitoring project; PR, prevalence ratio; HIVMA, HIV Medicine Association; AAHIV-S, American Academy of HIV Medicine Practicing HIV Specialist.

^aN = 1187.

^b2013–2014 MMP provider survey.