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Evolving trends in medical care-coordination for patients with HIV and AIDS

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Abstract

HIV/AIDS is a condition characterized by a variety of medical and social needs that affect individuals over time. System-level problems of access, rising costs of care, and varying quality of HIV/AIDS care in addition to the individual barriers to care such as stigma, perceived discrimination, competing needs, and comorbid conditions have highlighted the importance of using comprehensive approaches to care delivery. Several types of services have been proposed to improve care coordination for various diseases, including case management, community health workers, promotoras, and patient navigators. In this paper, we will review the characteristics of care coordination interventions for persons with HIV and the findings in the literature about their association with HIV health outcomes. We will conclude with a discussion of the implications and important areas for further investigations on this topic.

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References and Recommended Reading

  1. Heslin KC, Cunningham WE, Marcus M, et al.: A comparison of unmet needs for dental and medical care among persons with HIV infection receiving care in the United States. J Public Health Dent 2001, 61:14–21.

    Article  PubMed  CAS  Google Scholar 

  2. Cunningham WE, Andersen RM, Katz MH, et al.: The impact of competing subsistence needs and barriers on access to medical care for persons with human immunode-.ciency virus receiving care in the United States. Med Care 1999, 37:1270–1281.

    Article  PubMed  CAS  Google Scholar 

  3. Katz MH, Cunningham WE, Mor V, et al.: Prevalence and predictors of unmet need for supportive services among HIV-infected persons: impact of case management. Med Care 2000, 38:58–69.

    Article  PubMed  CAS  Google Scholar 

  4. Gant L, ed.: Evaluation of HIV case-management services: an overview. In Evaluating HIV Case Management. Invited Research & Evaluation Papers. Rockville, MD: Health Resources and Service Administration, HIV/AIDS Bureau; 1998:8–24.

    Google Scholar 

  5. Piette JD, Fleishman JA, Stein MD, et al.: Perceived needs and unmet needs for formal services among people with HIV disease. J Community Health 1993, 18:11–23.

    Article  PubMed  CAS  Google Scholar 

  6. London AS, LeBlanc AJ, Aneshensel CS: The integration of informal care, case management and community-based services for persons with HIV/AIDS. AIDS Care 1998, 10:481–503.

    Article  PubMed  CAS  Google Scholar 

  7. Palella FJ Jr, Delaney KM, Moorman AC, et al.: Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med 1998, 338:853–860.

    Article  PubMed  Google Scholar 

  8. Case Management Society of America: Definition of Case Management. http://www.cmsa.org/Default. aspx?tabid=104. Accessed May 3, 2006.

  9. Emlet CA, Gusz SS: Service use patterns in HIV/AIDS case management: a five-year study. J Case Manag 1998, 7:3–9.

    PubMed  CAS  Google Scholar 

  10. Piette J, Fleishman JA, Mor V, Thompson B: The structure and process of AIDS case management. Health Soc Work 1992, 17:47–56.

    PubMed  CAS  Google Scholar 

  11. Fleishman JA, Mor V, Piette J: AIDS case management: the client‘s perspective. Health Serv Res 1991, 26:447–470.

    PubMed  CAS  Google Scholar 

  12. Mor V, Piette J, Fleishman J: Community-based case management for persons with AIDS. Health Aff (Millwood) 1989, 8:139–153.

    Article  CAS  Google Scholar 

  13. Sonsel GE: Case management in a community-based AIDS agency. QRB Qual Rev Bull 1989, 15:31–36.

    PubMed  CAS  Google Scholar 

  14. Sonsel GE: HIV case management compared to other models of care coordination. In Evaluating HIV Case Management. Invited Research & Evaluation Papers. Edited by Gant L. Rockville, MD: Health Resources and Service Administration, HIV/AIDS Bureau; 1998:161–173.

    Google Scholar 

  15. Centers for Disease Control and Prevention: HIV Prevention Case Management: Literature Review and Current Practice. http://www.cdc.gov/hiv/pubs/pcml/pcml-doc.htm. Accessed June 1, 2006.

  16. Chernesky RH: A review of HIV/AIDS case management research. Care Manag J 1999, 1:105–113.

    PubMed  CAS  Google Scholar 

  17. Abramowitz S, Obten N, Cohen H: Measuring HIV/AIDS case management. Soc Work Health Care 1998, 27:1–28.

    Article  PubMed  CAS  Google Scholar 

  18. Piette J, Fleishman JA, Mor V, Dill A: A comparison of hospital and community case management programs for persons with AIDS. Med Care 1990, 28:746–755.

    Article  PubMed  CAS  Google Scholar 

  19. Malone SB, Osborne JJ: Improving treatment adherence in drug abusers who are HIV-positive. Lippincotts Case Manag 2000, 5:236–245, quiz 245–247.

    Article  PubMed  CAS  Google Scholar 

  20. Miles MS, Holditch-Davis D, Eron J, et al.: An HIV self-care symptom management intervention for African American mothers. Nurs Res 2003, 52:350–360.

    Article  PubMed  Google Scholar 

  21. Kushel MB, Colfax G, Ragland K, et al.: Case management is associated with improved antiretroviral adherence and CD4+ cell counts in homeless and marginally housed individuals with HIV infection. Clin Infect Dis 2006, 43:234–242. A prospective study demonstrating case management was associated with better clinical outcomes.

    Article  PubMed  CAS  Google Scholar 

  22. Rich JD, Holmes L, Salas C, et al.: Successful linkage of medical care and community services for HIV-positive offenders being released from prison. J Urban Health 2001, 78:279–289.

    PubMed  CAS  Google Scholar 

  23. Katz MH, Cunningham WE, Fleishman JA, et al.: Effect of case management on unmet needs and utilization of medical care and medications among HIV-infected persons. Ann Intern Med 2001, 135:557–565.

    PubMed  CAS  Google Scholar 

  24. Lehrman SE, Gentry D, Yurchak BB, Freedman J: Outcomes of HIV/AIDS case management in New York. AIDS Care 2001, 13:481–492.

    Article  PubMed  CAS  Google Scholar 

  25. Messeri PA, Abramson DM, Aidala AA, et al.: The impact of ancillary HIV services on engagement in medical care in New York City. AIDS Care 2002, 14(Suppl 1):S15–29.

    Article  PubMed  Google Scholar 

  26. Mitchell JM, Anderson KH: Effects of case management and new drugs on Medicaid AIDS spending. Health Aff (Millwood) 2000, 19:233–243.

    Article  CAS  Google Scholar 

  27. Sherer R, Stieglitz K, Narra J, et al.: HIV multidisciplinary teams work: support services improve access to and retention in HIV primary care. AIDS Care 2002, 14(Suppl 1):S31–44.

    Article  PubMed  Google Scholar 

  28. Sowell RL, Gueldner SH, Killeen MR, et al.: Impact of case management on hospital charges of PWAs in Georgia. J Assoc Nurses AIDS Care 1992, 3:24–31.

    PubMed  CAS  Google Scholar 

  29. Twyman DM, Libbus MK: Case-management of AIDS clients as a predictor of total inpatient hospital days. Public Health Nurs 1994, 11:406–411.

    Article  PubMed  CAS  Google Scholar 

  30. Knowlton AR, Hoover DR, Chung SE, et al.: Access to medical care and service utilization among injection drug users with HIV/AIDS. Drug Alcohol Depend 2001, 64:55–62.

    Article  PubMed  CAS  Google Scholar 

  31. Havens PL, Cuene BE, Hand JR, et al.: Effectiveness of intensive nurse case management in decreasing vertical transmission of human immunodeficiency virus infection in Wisconsin. Pediatr Infect Dis J 1997, 16:871–875.

    Article  PubMed  CAS  Google Scholar 

  32. Amsel JL, Magaña J, Tran CP: A review of systematic data analysis toward the effectiveness of HIV case-management. In Evaluating HIV Case-Management. Invited Research & Evaluation Papers. Edited by Gant L. Rockville, MD: Health Resources and Service Administration, HIV/AIDS Bureau; 1998:101–124.

    Google Scholar 

  33. Gardner LI, Metsch LR, Anderson-Mahoney P, et al.: Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS 2005, 19:423–431. This trial found that the positive effects of case management on improved access to care impacts racial and ethnic groups differently.

    Article  PubMed  Google Scholar 

  34. Sorensen JL, Dilley J, London J, et al.: Case management for substance abusers with HIV/AIDS: a randomized clinical trial. Am J Drug Alcohol Abuse 2003, 29:133–150.

    Article  PubMed  Google Scholar 

  35. Nickel JT, Salsberry PJ, Caswell RJ, et al.: Quality of life in nurse case management of persons with AIDS receiving home care. Res Nurs Health 1996, 19:91–99.

    Article  PubMed  CAS  Google Scholar 

  36. Payne FJ, Sharrett CS, Poretz DN, et al.: Community-based case management of HIV disease. Am J Public Health 1992, 82:893–894.

    PubMed  CAS  Google Scholar 

  37. American Public Health Association: Recognition and Support for Community Health Workers‘ Contributions to Meeting our Nation‘s Health Care Needs. http://www.apha.org/legislative/policy/policysearch/index.cfm?fuseacti on=view& id=254. Accessed May 30, 2006.

  38. Gary TL, Batts-Turner M, Bone LR, et al.: A randomized controlled trial of the effects of nurse case manager and community health worker team interventions in urban African-Americans with type 2 diabetes. Control Clin Trials 2004, 25:53–66.

    Article  PubMed  Google Scholar 

  39. Fedder DO, Chang RJ, Curry S, Nichols G: The effectiveness of a community health worker outreach program on healthcare utilization of west Baltimore City Medicaid patients with diabetes, with or without hypertension. Ethn Dis 2003, 13:22–27.

    PubMed  Google Scholar 

  40. Reinschmidt KM, Hunter JB, Fernandez ML, et al.: Understanding the success of promotoras in increasing chronic diseases screening. J Health Care Poor Underserved 2006, 17:256–264.

    Article  PubMed  Google Scholar 

  41. Williams DM: La promotora. Linking disenfranchised residents along the border to the U.S. health care system. Health Aff (Millwood) 2001, 20:212–218.

    Article  CAS  Google Scholar 

  42. Balcazar H, Alvarado M, Hollen ML, et al.: Salud Para Su Corazon-NCLR: a comprehensive Promotora outreach program to promote heart-healthy behaviors among Hispanics. Health Promot Pract 2006, 7:68–77.

    Article  PubMed  Google Scholar 

  43. Hunter JB, de Zapien JG, Papenfuss M, et al.: The impact of a promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. Health Educ Behav 2004, 31(4 Suppl):18S-28S.

    Article  PubMed  Google Scholar 

  44. Conway TL, Woodruff SI, Edwards CC, et al.: Intervention to reduce environmental tobacco smoke exposure in Latino children: null effects on hair biomarkers and parent reports. Tob Control 2004, 13:90–92.

    Article  PubMed  CAS  Google Scholar 

  45. Concilio Latino de Salud. AIDS Action Update 1995, 9:2.

  46. Freeman HP, Muth BJ, Kerner JF: Expanding access to cancer screening and clinical follow-up among the medically underserved. Cancer Pract 1995, 3:19–30.

    PubMed  CAS  Google Scholar 

  47. Dohan D, Schrag D: Using navigators to improve care of underserved patients: current practices and approaches. Cancer 2005, 104:848–855.

    Article  PubMed  Google Scholar 

  48. Freeman HP: Patient navigation: a community based strategy to reduce cancer disparities. J Urban Health 2006, 83:139–141.

    Article  PubMed  Google Scholar 

  49. Bradford J, Coleman S: Health system navigation: a promising method for reducing barriers to HIV medical care [abstract]. Presented at the HRSA HIV/AIDS Bureau, SPNS Outreach Multisite Meeting. Rockville, MD; 2006.

  50. Cooper LA, Hill MN, Powe NR: Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. J Gen Intern Med 2002, 17:477–486.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, 911 Broxton Avenue, 90024, Los Angeles, CA, USA

    Roberto B. Vargas MD, MPH

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  1. Roberto B. Vargas MD, MPH
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  2. William E. Cunningham MD, PhD
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Correspondence to Roberto B. Vargas MD, MPH.

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Vargas, R.B., Cunningham, W.E. Evolving trends in medical care-coordination for patients with HIV and AIDS. Curr HIV/AIDS Rep 3, 149–153 (2006). https://doi.org/10.1007/s11904-006-0009-y

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