1286. Telehealth Utilization and 2-year Outcomes among People with HIV at a Midwestern Clinic

Abstract Background Telehealth platforms such as video and telephone visits serve mechanisms for HIV care delivery during the COVID-19 pandemic. While telehealth may be instrumental in care, its utilization, sustainability, impact on patients’ outcomes remain an area further research. Hence, we compared people with (PWH) utilizing services to those receiving in-person clinic at Nebraska's largest Omaha. Methods Care were classified into visits. We defined users PWH who have utilized or least once between April 2020 March 2022. Clinical demographic comparisons both groups made. conducted bivariate analyses descriptive statistics associations proportions of visit type, viral loads (VL), completed Results A total 4,473 among 1,308 unique patients (172 versus 1136 in-person). utilization was significantly higher from cities other than Omaha (< 0.001) income levels above Federal Poverty Line (FPL) (0.001). made up 73.3% missed appointments 50% canceled more likely undetectable VL (0.018). In addition, ≥ 45 years younger 0.001). There no association gender, race, year diagnosis type. Notably, transgender (n = 18) did not use telehealth. Overall dropped 64% our 5% Conclusion patient population, VL, live far clinic, FPL users. However, cancel miss their medical appointments. Our data also suggest a low preference people. Future studies should develop strategies improve rates users, promote men, sustain beyond Disclosures All Authors: No reported disclosures.