ArticleAIDS patient care and STDs2013
Conformity of pediatric/adolescent HIV clinics to the patient-centered medical home care model.
Article in AIDS patient care and STDs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Clinic-Level Factors Associated With Time to Antiretroviral Initiation and Viral Suppression in a Large, Urban Cohort.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Heterogeneity in the costs of medical care among people living with HIV/AIDS in the United States.AIDS (London, England) · 2019Article
- Caring for youth living with HIV across the continuum: turning gaps into opportunities.AIDS care · 2017Review
- Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments.Pediatric clinics of North America · 2016Review
- The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth.AIDS patient care and STDs · 2016Article
- Aging and loss to follow-up among youth living with human immunodeficiency virus in the HIV Research Network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2015Article
- Comparison of HIV outcomes for patients linked at hospital versus community-based clinics.AIDS patient care and STDs · 2015Article
- Health insurance coverage for persons in HIV care, 2006-2012.Journal of acquired immune deficiency syndromes (1999) · 2014Article
- Assessing the overall quality of health care in persons living with HIV in an urban environment.AIDS patient care and STDs · 2014Article
- Retention in care is more strongly associated with viral suppression in HIV-infected patients with lower versus higher CD4 counts.Journal of acquired immune deficiency syndromes (1999) · 2014Article
- Towards an integrated framework for accelerating the end for the global HIV epidemic among young people.Sex education · 2014Article
- Hepatitis C virus testing in adults living with HIV: a need for improved screening efforts.PloS one · 2014Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
The patient-centered medical home (PCMH) has been introduced as a model for providing high-quality, comprehensive, patient-centered care that is both accessible and coordinated, and may provide a framework for optimizing the care of youth living with HIV (YLH). We surveyed six pediatric/adolescent HIV clinics caring for 578 patients (median age 19 years, 51% male, and 82% black) in July 2011 to assess conformity to the PCMH. Clinics completed a 50-item survey covering the six domains of the PCMH: (1) comprehensive care, (2) patient-centered care, (3) coordinated care, (4) accessible services, (5) quality and safety, and (6) health information technology. To determine conformity to the PCMH, a novel point-based scoring system was devised. Points were tabulated across clinics by domain to obtain an aggregate assessment of PCMH conformity. All six clinics responded. Overall, clinics attained a mean 75.8% [95% CI, 63.3-88.3%] on PCMH measures-scoring highest on patient-centered care (94.7%), coordinated care (83.3%), and quality and safety measures (76.7%), and lowest on health information technology (70.0%), accessible services (69.1%), and comprehensive care (61.1%). Clinics moderately conformed to the PCMH model. Areas for improvement include access to care, comprehensive care, and health information technology. Future studies are warranted to determine whether greater clinic PCMH conformity improves clinical outcomes and cost savings for YLH.
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