A5018838011- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- Primary Care and Health Outcomes
- HIV-related health complications and treatments
- Adolescent Sexual and Reproductive Health
- Pneumocystis jirovecii pneumonia detection and treatment
- Tuberculosis Research and Epidemiology
- HIV/AIDS drug development and treatment
- HIV Research and Treatment
- Homelessness and Social Issues
- Healthcare Systems and Reforms
- Mental Health and Patient Involvement
- Patient Satisfaction in Healthcare
- Health Policy Implementation Science
- Syphilis Diagnosis and Treatment
- Patient-Provider Communication in Healthcare
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Malaria Research and Control
- Global Health Workforce Issues
- Oral and gingival health research
- HIV/AIDS oral health manifestations
- Healthcare Quality and Management
University of California, San Francisco
2018-2025
Global Brain Health Institute
2018-2025
Icahn School of Medicine at Mount Sinai
2021
Veterans Health Administration
2021
The University of Texas at Austin
2021
Massachusetts General Hospital
2021
Hindustan Aeronautics Limited (India)
2020
City University of New York
2018-2019
New York State Department of Health
2005-2018
Population Council
2018
Journal Article Effect of Combined Therapy with Ansamycin, Clofazimine, Ethambutol, and Isoniazid for Mycobacterium avium Infection in Patients AIDS Get access Bruce D. Agins, Agins Infectious Disease Section, Medical Service, New York Veterans Administration Center, the Department Medicine, University School City Please address requests reprints to Dr. Division, Nassau County 2201 Hempstead Turnpike, East Meadow, NY 11554. Search other works by this author on: Oxford Academic PubMed Google...
Near perfect adherence is considered essential for patients on HAART, yet to medical recommendations rarely so high. Supportive services and reminder tools may help individuals become adherent, it difficult determine who need such interventions. In this study, based data from the NYSDOH/AIDS Institute Treatment Adherence Demonstration Program, we look at association between HIV-related knowledge adherence, hypothesizing that a better understanding of HIVand its treatment associated with...
Adherence to antiretroviral medications is essential therapeutic success. Many published studies have investigated the degree of adherence or nonadherence, but sample sizes generally been small, and has seldom viewed as a longitudinal process. This paper investigates stability over time among HIV-infected individuals attending support programs in New York State. The study cohort consists 435 clients who were on HAART at baseline completed least 2 follow-up interviews. Although...
Retention in HIV care has important implications. Few studies examining retention include comprehensive and heterogeneous populations, few examine factors associated with returning to after gaps care. We identified reasons for care.We extracted medical record state-wide reporting data from 1865 patients 1 visit a New York facility 2008 subsequent 6-month gap Using mixed effect logistic regression, we examined sociodemographic, clinical, characteristics care.Most were men (63.2%), black...
To describe the HEALTHQUAL framework consisting of following three components: performance measurement, quality improvement and management program, representing an adaptive approach to building capacity in national programs low middle-income countries.We present a case study from Namibia illustrating how this is adapted country context.HEALTHQUAL partners with Ministries Health build knowledge expertise modern methods, including data collection, analysis reporting, process use implement...
Hospital readmissions impose considerable physical and psychological hardships on patients represent a high, but possibly preventable, cost for insurers hospitals alike. The objective of this study was to identify patient characteristics associated with 30-day readmission among persons living HIV/AIDS (PLWH) using statewide administrative database characterize the movement between facilities.Retrospective cohort analysis HIV-infected individuals in New York State comprehensive, all-payer...
The financial and capacity pressures facing healthcare systems call for new strategies to deliver high-quality, efficient services. 'Coproduction' is a concept gaining recognition as an approach create patient partnerships that enable better functioning systems. Yet, this framing obscures coproduction's 'everyday unavoidable' character, already part of service delivery. This paper aims understand these everyday unavoidable dimensions coproduced services by drawing upon thematic process...
Knowledge of care practices among clinicians who annually treat <20 human immunodeficiency virus (HIV)-positive patients with antiretroviral therapy (ART) is insufficient, despite their number, which likely to increase given shifting healthcare policies. We analyze the practices, distribution and quality provided by low-volume prescribers (LVPs) based on available data sources in New York State.We communicated 1278 (66%) LVPs identified through a statewide claims database determine...
Racial and ethnic disparities in viral load suppression (VLS) have been well documented among people living with HIV (PLWH). The authors hypothesized that a contemporary analytic technique could reveal factors underlying these provide more explanatory power than broad stereotypes. Classification regression tree analysis was used to detect associated VLS 11 419 adult PLWH receiving treatment from 186 New York State clinics 2013. A total of 8885 (77.8%) patients were virally suppressed....
Ensuring quality in healthcare calls for a coordinated, systematic, congruous, and sustained approach. Nevertheless, it demands defining what the of means local context. Presently, Malaysian system utilizes various definitions across different initiatives levels healthcare, which can lead to fragmented or ineffective improvement. The study aims describe process undertaken developing an explicit definition tailored context, is currently lacking. A pluralistic method was used explore...
There is evidence that practitioners applying quality improvements often adapt the improvement method or change they are implementing, either unknowingly, intentionally to fit their service situation. This has been observed especially in programs seeking spread 'scale up' an other services. Sometimes adaptations result improved outcomes, sometimes do not, and not have data make this assessment describe adaptation. The purpose of paper summarize key points about adaptation context discussed...
Background Hypertension (HTN) is highly prevalent among people with HIV (PWH) in Namibia, but screening and treatment for HTN are not routinely offered as part of care delivery. We report the implementation a quality improvement collaborative (QIC) to accelerate integration within public-sector health facilities Namibia. Methods Twenty-four participated QIC aim increasing adult PWH (>15 years). was defined according national guidelines (i.e., systolic blood pressure >140 and/or...