How the delivery of HIV care in Canada aligns with the Chronic Care Model: A qualitative study.
Canada
/ epidemiology
Chronic Disease
Delivery of Health Care
/ organization & administration
HIV
/ isolation & purification
HIV Infections
/ epidemiology
Health Services Needs and Demand
Humans
Long-Term Care
Medical Informatics
Models, Theoretical
Patient Care
/ standards
Qualitative Research
Quality Improvement
/ organization & administration
Surveys and Questionnaires
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
25
04
2019
accepted:
17
07
2019
entrez:
27
7
2019
pubmed:
28
7
2019
medline:
4
3
2020
Statut:
epublish
Résumé
With the advent of continuous antiretroviral therapy, HIV has become a complex chronic, rather than acute, condition. The Chronic Care Model (CCM) provides an integrated approach to the delivery of care for people with chronic conditions that could therefore be applied to the delivery of care for people living with HIV. Our objective was to assess the alignment of HIV care settings with the CCM. We conducted a mixed methods study to explore structures, organization and care processes of Canadian HIV care settings. The quantitative results of phase one are published elsewhere. For phase two, we conducted semi-structured interviews with key informants from 12 HIV care settings across Canada. Irrespective of composition of the care setting or its location, HIV care in Canada is well aligned with several components of the CCM, most prominently in the areas of linkage to community resources and delivery system design with inter-professional team-based care. We propose the need for improvements in the availability of electronic clinical information systems and self-management support services to support better care delivery and health outcomes among people living with HIV in Canada.
Identifiants
pubmed: 31348801
doi: 10.1371/journal.pone.0220516
pii: PONE-D-19-10009
pmc: PMC6660092
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0220516Subventions
Organisme : CIHR
ID : FRN TT5-128270
Pays : Canada
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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