E riding. Some participants also mentioned heavy traffic and the cost
E riding. Some participants also mentioned heavy traffic and the cost and availability of parking as barriers.Insufficient health insuranceNon-retained patients more commonly (high tertile) expressed challenges with health insurance as compared to retained patients (low tertile). Participants found the process of enrolling in health insurance complicated and slow, affecting their ability to schedule appointments and receive medications in a AnlotinibMedChemExpress Anlotinib timely manner. In addition, co-pays associated with medical visits deterred some participants from seeking care.Yehia et al. BMC Infectious Diseases (2015) 15:Page 5 ofTable 2 Barriers to retention in care for people living with HIVBarriers 1. Competing Life Activities Selected patient quotes “Of course, mother of four. Work 40-hour full-time job, come home to a full-time job, single mom. So yeah, I mean, there are times, like I said, from exhaustion. Sometimes ?most times, it’s just sheer exhaustion. I’m tired, you know. Before I know it, I’m asleep somewhere and I’m sleeping so long, it’s the next day. But when I get up, I will take it. It’s far and few between, but it happens. It happens.” -NR Female “Maybe because it was cold or it was raining and I was sick and I didn’t feel like coming, even though I was sick, because I know like in PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28388412 the past I will be feeling PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26104484 sick as hell, but I couldn’t even have the strength to get up to come to see the doctor.” -R Female Total Retained Not patients retained High High High2. Feeling SickHighHighHigh3. Stigma”You don’t want to see nobody you know and all that kind of stuff. I hate the waiting High room, I wish I could put on my hood and walk right through there when I leave.” -R Male “It impacts a lot. It can impact a lot especially depending on I guess my emotional High state. Depending on how bad I feel I’m not gonna move at all, I’m just not gonna come out the house, no matter what the reason that may have brought it on, whether it was me, an argument or fight with my husband, the kids driving me crazy today, no matter what brought it on, depending on how bad I feel, I’m just not gonna come because of my depression.” -NR Female “Well, what makes it hard sometimes if you don’t have money to get here. If you High don’t have a car, that’s one thing. And what makes it easy is when you have transportation to come here. And it’s accessible if you’re on a bus route. It’s right on the [Specific bus route]. It’s easy to get here. And that’s about it. Sometime you can’t come because you don’t have the money. That’s a factor.” -NR Male “I’d say about the last two years, it’s gotten to a point whereas though things they used to cover they don’t cover no more. And being ?having this disease, we need a lot of things done. They don’t send out no letter, no nothing, just saying you can’t have this done no more or it’s going to be an extra charge. They don’t say nothing. I get to the place like the dentist. I have bone loss. And I had an appointment. I went to the appointment, and they’re telling me it’s not covered.” -R Male “If I’m rushing out of the house and I forget to just grab them and put them in my purse or something. That’s most of the time when I forget.” -R Female “I forgot a lot of appointments. I was on drugs and I didn’t ?I wouldn’t come in for like months, six months, to a year. I’m just getting back on track.” -R Female “I still went…He just run in and out of the office, leave me sitting ?first of all, you sat an hour just to get triaged. Then they stuck.
