Structures of care in the clinics of the HIV research network

Baligh R. Yehia, Kelly A. Gebo, Perrin B. Hicks, Philip (Todd) Korthuis, Richard D. Moore, Michelande Ridore, William Christopher Mathews

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

As the HIV epidemic has evolved to become a chronic, treatable condition the focus of HIV care has shifted from the inpatient to the outpatient arena. The optimal structure of HIV care in the outpatient setting is unknown. Using the HIV Research Network (HIVRN), a federally sponsored consortium of 21 sites that provide care to HIV-infected individuals, this study attempted to: (1) document key features of the organization of care in HIVRN adult clinics and (2) estimate variability among clinics in these parameters. A cross-sectional survey of adult clinic directors regarding patient volume, follow-up care, provider characteristics, acute patient care issues, wait times, patient safety procedures, and prophylaxis practices was conducted from July to December 2007. All 15 adult HIVRN clinic sites responded: 9 academic and 6 community-based. The results demonstrate variability in key practice parameters. Median (range) of selected practice characteristics were: (1) annual patient panel size, 1300 (355-5600); (2) appointment no-show rate, 28% (8%-40%); (3) annual loss to follow-up, 15% (5%-25%); (4) wait time for new appointments, 5 days (0.5-22.5), and follow-up appointment, 8 days (0-30). The majority of clinics had an internal mechanism to handle acute patient care issues and provide a number of onsite consultative services. Nurse practitioners and physician assistants were highly utilized. These data will facilitate improvements in chronic care management of persons living with HIV.

Original languageEnglish (US)
Pages (from-to)1007-1013
Number of pages7
JournalAIDS Patient Care and STDs
Volume22
Issue number12
DOIs
StatePublished - Dec 1 2008

Fingerprint

HIV
Research
Appointments and Schedules
Patient Care
Physician Assistants
Aftercare
Nurse Practitioners
Patient Safety
Ambulatory Care
Inpatients
Outpatients
Cross-Sectional Studies
Organizations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Yehia, B. R., Gebo, K. A., Hicks, P. B., Korthuis, P. T., Moore, R. D., Ridore, M., & Mathews, W. C. (2008). Structures of care in the clinics of the HIV research network. AIDS Patient Care and STDs, 22(12), 1007-1013. https://doi.org/10.1089/apc.2008.0093

Structures of care in the clinics of the HIV research network. / Yehia, Baligh R.; Gebo, Kelly A.; Hicks, Perrin B.; Korthuis, Philip (Todd); Moore, Richard D.; Ridore, Michelande; Mathews, William Christopher.

In: AIDS Patient Care and STDs, Vol. 22, No. 12, 01.12.2008, p. 1007-1013.

Research output: Contribution to journalArticle

Yehia, BR, Gebo, KA, Hicks, PB, Korthuis, PT, Moore, RD, Ridore, M & Mathews, WC 2008, 'Structures of care in the clinics of the HIV research network', AIDS Patient Care and STDs, vol. 22, no. 12, pp. 1007-1013. https://doi.org/10.1089/apc.2008.0093
Yehia, Baligh R. ; Gebo, Kelly A. ; Hicks, Perrin B. ; Korthuis, Philip (Todd) ; Moore, Richard D. ; Ridore, Michelande ; Mathews, William Christopher. / Structures of care in the clinics of the HIV research network. In: AIDS Patient Care and STDs. 2008 ; Vol. 22, No. 12. pp. 1007-1013.
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