HIV multidisciplinary teams work: Support services improve access to and retention in HIV primary care

摘要: The multidisciplinary team model of HIV care evolved out necessity due to the diverse characteristics and needs people living with disease. Though it is now accepted as international standard care, represents a significant departure from methods for other infectious diseases, debate continues regarding effectiveness its interventions. has been largely uninformed by data; example, little known about relationship between ancillary support services primary outcomes. We hypothesized that increase access retention in an inner city public hospital clinic. conducted retrospective analysis clinical data sets on 2,647 patients at CORE Center, Chicago 1997-1998 investigate four services-case management (CM), transportation (TRANS), mental health (MH) chemical dependency (CD)-and care. found who received each these were significantly more likely receive any regular had visits than no service, increased 15-18%. Female gender, younger age, self-pay status IDU predicted less Need all was substantial greater women. Outcomes improved greatest extent among needed service. conclude Our findings validate suggest are tailored express lead better Further testing changes delivery meet rapidly changing disease respond constantly practice medicine urgently maintain extend advances outcomes past decade.