Perspectives on the role of patient-centered medical homes in HIV Care

doi:10.2105/AJPH.2014.302022

. 2014 Jul;104(7):e49-53.

doi: 10.2105/AJPH.2014.302022. Epub 2014 May 15.

Perspectives on the role of patient-centered medical homes in HIV Care

Gregory Pappas¹, Jia Yujiang, Naomi Seiler, Mary-Beth Malcarney, Katherine Horton, Irshad Shaikh, Gunther Freehill, Carla Alexander, Mohammad N Akhter, Julia Hidalgo

Affiliations

Affiliation

¹ At the time of initial writing and research, Gregory Pappas, Jia Yujiang, Irshad Shaikh, Gunther Freehill, and Mohammad N. Akhter were with the District of Columbia Department of Health, Washington, DC. Naomi Seiler, Mary-Beth Malcarney, Katherine Horton, and Julia Hidalgo were with the Milken Institute School of Public Health, George Washington University, Washington, DC. Carla Alexander was with Institute of Human Virology, University of Maryland School of Medicine, Baltimore.

PMID: 24832431
PMCID: PMC4056203
DOI: 10.2105/AJPH.2014.302022

Perspectives on the role of patient-centered medical homes in HIV Care

Gregory Pappas et al. Am J Public Health. 2014 Jul.

. 2014 Jul;104(7):e49-53.

doi: 10.2105/AJPH.2014.302022. Epub 2014 May 15.

Authors

Gregory Pappas¹, Jia Yujiang, Naomi Seiler, Mary-Beth Malcarney, Katherine Horton, Irshad Shaikh, Gunther Freehill, Carla Alexander, Mohammad N Akhter, Julia Hidalgo

Affiliation

¹ At the time of initial writing and research, Gregory Pappas, Jia Yujiang, Irshad Shaikh, Gunther Freehill, and Mohammad N. Akhter were with the District of Columbia Department of Health, Washington, DC. Naomi Seiler, Mary-Beth Malcarney, Katherine Horton, and Julia Hidalgo were with the Milken Institute School of Public Health, George Washington University, Washington, DC. Carla Alexander was with Institute of Human Virology, University of Maryland School of Medicine, Baltimore.

PMID: 24832431
PMCID: PMC4056203
DOI: 10.2105/AJPH.2014.302022

Abstract

To strengthen the quality of HIV care and achieve improved clinical outcomes, payers, providers, and policymakers should encourage the use of patient-centered medical homes (PCMHs), building on the Ryan White CARE Act Program established in the 1990s. The rationale for a PCMH with HIV-specific expertise is rooted in clinical complexity, HIV's social context, and ongoing gaps in HIV care. Existing Ryan White HIV/AIDS Program clinicians are prime candidates to serve HIV PCMHs, and HIV-experienced community-based organizations can play an important role. Increasingly, state Medicaid programs are adopting a PCMH care model to improve access and quality to care. Stakeholders should consider several important areas for future action and research with regard to development of the HIV PCMH.

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References

1. Braitstein P, Brinkhof MW, Dabis F et al. Mortality of HIV-1–infected patients in the first year of antiretroviral therapy: comparison between low-income and high-income countries. Lancet. 2006;367(9513):817–824. - PubMed
1. HIV-CAUSAL Collaboration. Ray M, Logan R, Sterne JA et al. The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals. AIDS. 2010;24(1):123–137. - PMC - PubMed
1. Bulterys PL, Dalai SC, Katzenstein DA. Viral sequence analysis from HIV-infected mothers and infants: molecular evolution, diversity, and risk factors for mother-to-child transmission. Clin Perinatol. 2010;37(4):739–750, viii. - PMC - PubMed
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1. Centers for Disease Control and Prevention. HIV in the United States: the stage of care. 2012. Available at: http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-50.... Accessed May 2, 2013.

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[1] Braitstein P, Brinkhof MW, Dabis F et al. Mortality of HIV-1–infected patients in the first year of antiretroviral therapy: comparison between low-income and high-income countries. Lancet. 2006;367(9513):817–824. - PubMed

[2] Braitstein P, Brinkhof MW, Dabis F et al. Mortality of HIV-1–infected patients in the first year of antiretroviral therapy: comparison between low-income and high-income countries. Lancet. 2006;367(9513):817–824. - PubMed

[3] HIV-CAUSAL Collaboration. Ray M, Logan R, Sterne JA et al. The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals. AIDS. 2010;24(1):123–137. - PMC - PubMed

[4] HIV-CAUSAL Collaboration. Ray M, Logan R, Sterne JA et al. The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals. AIDS. 2010;24(1):123–137. - PMC - PubMed

[5] Bulterys PL, Dalai SC, Katzenstein DA. Viral sequence analysis from HIV-infected mothers and infants: molecular evolution, diversity, and risk factors for mother-to-child transmission. Clin Perinatol. 2010;37(4):739–750, viii. - PMC - PubMed

[6] Bulterys PL, Dalai SC, Katzenstein DA. Viral sequence analysis from HIV-infected mothers and infants: molecular evolution, diversity, and risk factors for mother-to-child transmission. Clin Perinatol. 2010;37(4):739–750, viii. - PMC - PubMed

[7] Cohen MS, Chen YQ, McCauley M et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505. - PMC - PubMed

[8] Cohen MS, Chen YQ, McCauley M et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505. - PMC - PubMed

[9] Centers for Disease Control and Prevention. HIV in the United States: the stage of care. 2012. Available at: http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-50.... Accessed May 2, 2013.

[10] Centers for Disease Control and Prevention. HIV in the United States: the stage of care. 2012. Available at: http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-50.... Accessed May 2, 2013.

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Perspectives on the role of patient-centered medical homes in HIV Care

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Perspectives on the role of patient-centered medical homes in HIV Care

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