Perspectives on the role of patient-centered medical homes in HIV Care.
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.
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.
Gregory
G
Pappas
Jia
J
Yujiang
Naomi
N
Seiler
Mary-Beth
MB
Malcarney
Katherine
K
Horton
Irshad
I
Shaikh
Gunther
G
Freehill
Carla
C
Alexander
Mohammad N
MN
Akhter
Julia
J
Hidalgo
D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000517:prevention & control; D044966:Anti-Retroviral Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D002487:Centers for Disease Control and Prevention, U.S.; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration; D019468:Disease Management; D004359:Drug Therapy, Combination; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control*; D006801:Humans; D055118:Medication Adherence; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration; D012944:Social Support; D014481:United States
D044966:Anti-Retroviral Agents