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

G. Pappas, J. Yujiang, N. Seiler, M.-B. Malcarney, K. Horton, I. Shaikh, G. Freehill, C. Alexander, M.N. Akhter and J. Hidalgo

American Journal of Public Health, 2014, vol. 104, issue 7, e49-e53

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 communitybased 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.

Keywords: antiretrovirus agent, acquired immune deficiency syndrome; article; disease management; drug combination; economics; government; health care quality; human; Human immunodeficiency virus infection; medication compliance; organization and management; patient care; public health service; social support; United States, Acquired Immunodeficiency Syndrome; Anti-Retroviral Agents; Centers for Disease Control and Prevention (U.S.); Centers for Medicare and Medicaid Services (U.S.); Continuity of Patient Care; Disease Management; Drug Therapy, Combination; HIV Infections; Humans; Medication Adherence; Patient-Centered Care; Quality of Health Care; Social Support; United States (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302022_6

DOI: 10.2105/AJPH.2014.302022

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