ArticleJournal of general internal medicine2013
Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review.Health research policy and systems · 2023Pooled it
- Access to specialty healthcare in urban versus rural US populations: a systematic literature review.BMC health services research · 2019Pooled it
- Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies.Annals of family medicinePooled it
- What services, interventions and support are available for People with HIV in England to manage their overall health and wellbeing? A scoping review.HIV medicine · 2025Article
- Model Checking for Logistic Models with Study of Telehealth During the COVID-19 Pandemic Among PWH in DC.Statistics in biosciences · 2024Article
- Feasibility and Acceptability of a Motivational Interviewing-Based Telehealth Intervention for Bacterial Sexually Transmitted Infection Screening: Protocol for a Sequential Explanatory Mixed Methods Study.JMIR research protocols · 2024Article
- Provider perspectives on healthcare provision via telemedicine to persons with HIV living in an urban community.Health policy and technology · 2024Article
- Mixed Methods Analysis of Telehealth Experience, Satisfaction, and Quality of Care During the COVID Pandemic Among Persons with HIV in Washington, DC.AIDS and behavior · 2024Article
- Improving access to HIV care among people who inject drugs through tele-harm reduction: a qualitative analysis of perceived discrimination and stigma.Harm reduction journal · 2024Article
- Design and methods of a randomized trial testing "Advancing care for COPD in people living with HIV by implementing evidence-based management through proactive E-consults (ACHIEVE)".Contemporary clinical trials · 2023Article
- Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis.BMC geriatrics · 2023Article
- Factors associated with quality of life, depressive symptoms, and perceived stress among rural older adults living with HIV in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Article
- Challenges to meeting the HIV care needs of older adults in the rural South.SSM. Qualitative research in health · 2022Article
- Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study.AIDS and behavior · 2022Article
- Acceptability, feasibility, and pilot results of the tele-harm reduction intervention for rapid initiation of antiretrovirals among people who inject drugs.Drug and alcohol dependence · 2021Article
- The HIV Treat Pillar: An Update and Summary of Promising Approaches.American journal of preventive medicine · 2021Article
- Listening to Transgender Patients and Their Providers in Non-Metropolitan Spaces: Needs, Gaps, and Patient-Provider Discrepancies.International journal of environmental research and public health · 2021Article
- Human Immunodeficiency Virus-Experienced Clinician Workforce Capacity: Urban-Rural Disparities in the Southern United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- The Impact of COVID-19 on HIV Care Provided via Telemedicine-Past, Present, and Future.Current HIV/AIDS reports · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelivery of comprehensive care for persons with human immunodeficiency virus (HIV) infection in rural and low prevalence settings presents many challenges. We developed and evaluated a telehealth collaborative care (TCC) program for persons with HIV in a rural area.
objectiveTo determine the feasibility of TCC, and identify factors influencing implementation in rural settings.
designMixed methods evaluation of a quality improvement program with pre-measures and post-measures. PATIENTS: Veterans with HIV infection in Iowa and Illinois.
interventionTCC integrated HIV specialty care delivered by clinical video telehealth, with primary care delivered by generalist providers, in seven Community Based Outpatient Clinics (CBOCs) serving rural areas. Principles guiding TCC design were: 1) clear delineation of specialty and primary care clinic roles in co-managed care; 2) creation of processes to improve care coordination between specialty and primary care teams; and 3) use of a patient registry for population management across sites. MEASURES: Veterans Affairs (VA) healthcare system performance measures for care for HIV infection and common comorbidities, patient travel time to obtain care, and patient satisfaction. Qualitative evaluation involved semi-structured telephone interviews with patients. KEY
resultsThirty of 32 eligible patients chose TCC over traveling to the HIV clinic for all care. Among 24 patients in TCC during the June 2011-May 2012 evaluation period, median age was 54 (range, 40-79), most (96 %) were men, and median CD4 count was 707 cells/cm(3) (range, 233-1307). VA performance measures were met for > 90 % of TCC patients. Median yearly travel time decreased from 320 min per patient prior to TCC to 170 min during TCC (p < 0.001). Interview themes included: 1) overcoming privacy concerns during care in local primary care clinics; 2) tradeoffs between access, continuity, and care coordination; and 3) the role of specialist involvement in collaborative care. DISCUSSION: Telehealth Collaborative Care is a feasible approach to providing accessible and comprehensive care for persons with HIV in rural settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.