Open AccessExpanding the Vision for Differentiated Service Delivery: A Call for More Inclusive and Truly Patient-Centered Care for People Living With HIV
Author(s) -
Peter Ehrenkranz,
Anna Grimsrud,
Charles B. Holmes,
Peter Preko,
Miriam Rabkin
Publication year - 2020
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.162
H-Index - 157
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0000000000002549
Subject(s) - inefficiency , medicine , health care , service delivery framework , population , odds , nursing , service (business) , gerontology , family medicine , business , environmental health , economic growth , marketing , logistic regression , economics , microeconomics
Simplifying antiretroviral therapy for clinically stable people living with HIV (PLHIV) is important but insufficient to meet their health care needs, including prevention and treatment of tuberculosis and noncommunicable diseases, routine primary care, and family planning. Integrating these services into differentiated service delivery (DSD) platforms is a promising avenue to achieve such coverage. We propose a transition from an HIV-focused "DSD 1.0" to a patient-centered "DSD 2.0" that is inclusive of additional chronic care services for PLHIV.