TY - JOUR
T1 - Interdisciplinary HIV care in a changing healthcare environment in the USA
AU - Ojikutu, Bisola
AU - Holman, Jeremy
AU - Kunches, Laureen
AU - Landers, Stewart
AU - Perlmutter, Dianne
AU - Ward, Melina
AU - Fant, Gregory
AU - Hirschhorn, Lisa
N1 - Funding Information:
The authors would like to acknowledge the staff of the nine sites who participated in this study. This research was supported by Health Resources and Services Administration (HRSA), HIV/ AIDS Bureau (HAB) (HHSH250200646026I).
PY - 2014/6/3
Y1 - 2014/6/3
N2 - HIV remains a complex disease that requires comprehensive, coordinated care to ensure optimal outcomes. In the USA, interdisciplinary models of care have developed over time to optimize treatment outcomes. These models may be increasingly important in an era of healthcare reform in the USA. A qualitative study of nine clinical sites funded by the Ryan White HIV/AIDS Program (RWHAP), the federally funded "safety net" program for uninsured and underinsured people living with HIV, was undertaken to identify components of successful models of interdisciplinary HIV care. Findings suggest that these include: (1) patient-centered, one-stop-shop approaches with integrated or co-located services; (2) diverse teams of clinical and nonclinical providers; (3) a site culture that promotes a stigma reducing environment for clients; (4) the availability of a comprehensive array of medical, behavioral health, and psychosocial services; (5) effective communication strategies, including electronic health records (EHRs); and (6) a focus on quality. The importance of RWHAP funding in sustaining these programs is highlighted.
AB - HIV remains a complex disease that requires comprehensive, coordinated care to ensure optimal outcomes. In the USA, interdisciplinary models of care have developed over time to optimize treatment outcomes. These models may be increasingly important in an era of healthcare reform in the USA. A qualitative study of nine clinical sites funded by the Ryan White HIV/AIDS Program (RWHAP), the federally funded "safety net" program for uninsured and underinsured people living with HIV, was undertaken to identify components of successful models of interdisciplinary HIV care. Findings suggest that these include: (1) patient-centered, one-stop-shop approaches with integrated or co-located services; (2) diverse teams of clinical and nonclinical providers; (3) a site culture that promotes a stigma reducing environment for clients; (4) the availability of a comprehensive array of medical, behavioral health, and psychosocial services; (5) effective communication strategies, including electronic health records (EHRs); and (6) a focus on quality. The importance of RWHAP funding in sustaining these programs is highlighted.
KW - AIDS
KW - HIV
KW - interdisciplinary care
KW - medical home
KW - multidisciplinary care
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U2 - 10.1080/09540121.2013.855299
DO - 10.1080/09540121.2013.855299
M3 - Article
C2 - 24191727
AN - SCOPUS:84895521717
VL - 26
SP - 731
EP - 735
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - 6
ER -
