| Autor: |
Pappas G; 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., Yujiang J, Seiler N, Malcarney MB, Horton K, Shaikh I, Freehill G, Alexander C, Akhter MN, Hidalgo J |
| Abstrakt: |
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. |
