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Using data from the Medical Monitoring Project survey of HIV medical care providers in Houston\/Harris County, Texas, we assessed the HIV medical care providers\u2019 perspectives of the system and patient barriers to HIV care experienced by people living with HIV\/AIDS (PLWHA). The study findings indicate that of the 14 HIV care barriers identified, only 1 system barrier and 7 patient barriers were considered of significant ( P \u2264 .05) importance, with the proportion of HIV medical care providers\u2019 agreement to these barriers ranging from 73.9% (cost of health care) to 100% (lack of social support systems and drug abuse problems). Providers\u2019 perception of important system and patient barriers varied significantly ( P \u2264 .05) by profession, race\/ethnicity, and years of experience in HIV care. To improve access to and for consistent engagement in HIV care, effective intervention programs are needed to address the barriers identified especially in the context of the new health care delivery system.<\/jats:p>","DOI":"10.1177\/2325957414539045","type":"journal-article","created":{"date-parts":[[2014,6,18]],"date-time":"2014-06-18T22:04:53Z","timestamp":1403129093000},"page":"505-515","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["System and Patient Barriers to Care among People Living with HIV\/AIDS in Houston\/Harris County, Texas"],"prefix":"10.1177","volume":"14","author":[{"given":"Osaro","family":"Mgbere","sequence":"first","affiliation":[{"name":"Houston Department of Health and Human Services, Office of Surveillance and Public Health Preparedness, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salma","family":"Khuwaja","sequence":"additional","affiliation":[{"name":"Houston Department of Health and Human Services, Office of Surveillance and Public Health Preparedness, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanvir K.","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, UTHEALTH Medical School, University of Texas Health Science Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria C.","family":"Rodriguez-Barradas","sequence":"additional","affiliation":[{"name":"Infectious Diseases Section, Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Medicine, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raouf","family":"Arafat","sequence":"additional","affiliation":[{"name":"Houston Department of Health and Human Services, Office of Surveillance and Public Health Preparedness, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekere James","family":"Essien","sequence":"additional","affiliation":[{"name":"Institute of Community Health, University of Houston College of Pharmacy, Texas Medical Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamta","family":"Singh","sequence":"additional","affiliation":[{"name":"Houston Department of Health and Human Services, Office of Surveillance and Public Health Preparedness, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Houston Department of Health and Human Services, Office of Surveillance and Public Health Preparedness, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Roland","sequence":"additional","affiliation":[{"name":"Houston Medical Monitoring Project Community Advisory Board, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,6,18]]},"reference":[{"key":"bibr1-2325957414539045","unstructured":"Centers for Disease Control and Prevention. 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