A5022577427- HIV/AIDS Research and Interventions
- HIV/AIDS drug development and treatment
- HIV Research and Treatment
- HIV, Drug Use, Sexual Risk
- Pneumocystis jirovecii pneumonia detection and treatment
- Healthcare Systems and Reforms
- demographic modeling and climate adaptation
- Ethics in Clinical Research
- Healthcare Policy and Management
- Medication Adherence and Compliance
Centers for Disease Control and Prevention
2019-2023
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
2023
ICF International (United States)
2018-2021
Background: A benchmark of near-perfect adherence (≥95%) to antiretroviral therapy (ART) is often cited as necessary for HIV viral suppression. However, given newer, more effective ART medications, the threshold suppression may be lower. We estimated minimum level achieve Settings: The Patient-centered Care Model demonstration project. Methods: Adherence was calculated using proportion days covered measure 365-day period before each load test result, and grouped into 5 categories (<50%,...
Abstract Background Human immunodeficiency virus (HIV) viral suppression (VS) decreases morbidity, mortality, and transmission risk. Methods The Patient-centered HIV Care Model integrated community-based pharmacists with medical providers required them to share patient clinical information, identify therapy-related problems, develop action plans. Proportions adherent antiretroviral therapy (proportion of days covered [PDC] ≥90%) virally suppressed (HIV RNA &lt;200 copies/mL), before...
Poor retention in HIV care is associated with higher morbidity and mortality greater risk of transmission. The Patient-Centered Care Model (PCHCM) integrated community-based pharmacists medical providers. model required sharing patient clinical information collaborative therapy-related action planning. proportion persons retained (≥1 visit each 6-month period a 12-month measurement ≥60 days between visits), pre- post-PCHCM implementation, was modeled using log binomial regression. Factors...
Persons with HIV (PWH), aware of their infection but not in care account for an estimated 42.6% transmissions the United States. Health departments and clinics implemented a collaborative data-to-care strategy to identify persons newly out-of-care objective increasing re-engagement, retention medical care, viral load suppression.A multi-site, prospective randomised trial was conducted PWH using surveillance clinic data Connecticut (CT), Massachusetts (MA) Philadelphia (PHL). All participants...
The patient-centered HIV care model (PCHCM) is an evidence-informed structural intervention that integrates community-based pharmacists with primary medical providers to improve rates of viral suppression. This report assesses the costs and cost-effectiveness PCHCM.Patient-centered model.Three project sites, each composed a clinic 1 or 2 HIV-specialized pharmacies, were included in analyses. PCHCM required patient data sharing between collaborative therapy-related decision making....
A collaborative, data-to-care strategy to identify persons with HIV (PWH) newly out-of-care, combined an active public health intervention, significantly increases the proportion of PWH re-engaged in care. We assessed this strategy's impact on durable viral suppression (DVS).
Background: Data to Care (D2C) is a strategy for using health departments' HIV surveillance data (HIV viral load and CD4 laboratory reports) identify re-engage not-in-care persons with HIV. In the current D2C model, there delay in identification of not care due time interval between recommended monitoring tests (ie, every 3–6 months) subsequent reporting these department. Methods: Pharmacy claims fulfillment can be used who have stopped filling antiretroviral therapy are at risk falling out...
The Cooperative Re-Engagement Controlled Trial (CoRECT) is a randomized controlled trial that uses combined health department-provider data to care (D2C) model identify out-of-care HIV-infected persons. We present cost for programmatic aspects of the during start-up period (first 30 days study).We used microcosting methods estimate department costs. collected between September 2016 and December 2016; 3 departments completed form capture expenses initial study implementation; start date...
Abstract Introduction Data‐to‐care programmes utilize surveillance data to identify persons who are out of HIV care, re‐engage them in care and improve outcomes. We assess the costs cost‐effectiveness re‐engagement an intervention United States. Methods The Cooperative Re‐engagement Control Trial (CoRECT) employed a data‐to‐care collaborative model between health departments providers, August 2016–July 2018. Connecticut (CT), Massachusetts (MA) Philadelphia (PHL) collaborated with clinics...
Abstract Background The patient-centered HIV care model was developed to integrate community pharmacists with clinical providers deliver care. project required 10 clinics share, their partnered community-based pharmacists, patients’ medical histories, laboratory results, and medications. Pharmacists reviewed the clinic data worked directly participants and/or make recommendations discuss potential intervention strategies for identified therapy-related problems. Methods We calculated...