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Improvements in Retention in Care and HIV Viral Suppression Among Persons with HIV and Comorbid Mental Health Conditions: Patient-Centered HIV Care Model.
Byrd, Kathy K; Hardnett, Felicia; Hou, John G; Clay, Patrick G; Suzuki, Sumihiro; Camp, Nasima M; Shankle, Michael D; Weidle, Paul J; Taitel, Michael S.
Afiliación
  • Byrd KK; Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS US8-4, Atlanta, GA, 30329, USA. gdn8@cdc.gov.
  • Hardnett F; Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS US8-4, Atlanta, GA, 30329, USA.
  • Hou JG; Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA.
  • Clay PG; Department of Pharmacotherapy, University of North Texas Health Science Center System College of Pharmacy, Fort Worth, TX, USA.
  • Suzuki S; Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA.
  • Camp NM; Department of Health, Research, Informatics, and Technology, ICF, Atlanta, GA, USA.
  • Shankle MD; HealthHIV, Washington, DC, USA.
  • Weidle PJ; Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS US8-4, Atlanta, GA, 30329, USA.
  • Taitel MS; Health Analytics, Research, and Reporting Department, Walgreen Co., Deerfield, IL, USA.
AIDS Behav ; 24(12): 3522-3532, 2020 Dec.
Article en En | MEDLINE | ID: mdl-32415615
The Patient-centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers and required sharing of patient clinical information and collaborative therapy-related action planning. We determined the proportions of participants with HIV and mental health conditions who were retained in care and the proportion virally suppressed, pre- and post-implementation. Overall, we found a relative 13% improvement in both retention [60% to 68% (p = 0.009)] and viral suppression [79% to 90% (p < 0.001)]. Notable improvements were seen among persons triply diagnosed with HIV, mental illness and substance use [+ 36% (50% to 68%, p = 0.036) and + 32% (66% to 86%, p = 0.001) in retention and viral suppression, respectively]. There were no differences in the proportions of persons adherent to psychiatric medications, pre- to post-implementation, nor were there differences in the proportions of persons retained in care or virally suppressed by psychiatric medication adherence, post-implementation. PCHCM demonstrated that collaborations between community-based pharmacists and medical providers can improve HIV care continuum outcomes among persons with mental health conditions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Retención en el Cuidado Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Retención en el Cuidado Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos