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Are HIV Care Models Equally Effective?

Open Forum Infect Dis; ePub 2016 Nov 17; Rhodes, et al

Multiple HIV care models are effective with respect to HIV quality metrics, according to a recent study. Using the Partners HIV cohort, 1,565 patients were categorized into 3 HIV care models: infectious disease provider only (ID), generalist only (generalist), or infectious disease provider and generalist (ID plus generalist). 12 HIV quality indicators utilized by 5 major medical and quality associations were examined and grouped into 4 domains: process, screening, immunization, and HIV management. Researchers found:

  • Significant differences between HIV care models were observed.
  • The ID plus generalists group achieved significantly higher quality measures compared to the ID group in HIV management (94.4% vs 91.7%), and higher quality measures vs generalists in immunization (87.8% vs 80.6%).
  • All models achieved rates that equaled or surpassed previously reported quality indicator rates.

Citation:

Rhodes CM, Chang Y, Regan S, Signer DE, Triant VA. HIV quality indicators are similar across HIV care delivery models. [Published online ahead of print November 17, 2016]. Open Forum Infect Dis. doi:10.1093/ofid/ofw240.

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