Open AccessPerspectives on the Role of Patient-Centered Medical Homes in HIV Care
Author(s) -
Gregory Pappas,
Yujiang Jia,
Naomi Seiler,
Mary-Beth Malcarney,
Katherine C. Horton,
Irshad Ali Shaikh,
Gunther Freehill,
Carla Alexander,
Mohammad Akhter,
Julia Hidalgo
Publication year - 2014
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2014.302022
Subject(s) - human immunodeficiency virus (hiv) , medicine , family medicine , environmental health , gerontology
To strengthen the quality of HIV care and achieve improved clinical outcomes, payers, providers, and policymakers should encourage the use of patient-centered medical homes (PCMHs), building on the Ryan White CARE Act Program established in the 1990s. The rationale for a PCMH with HIV-specific expertise is rooted in clinical complexity, HIV's social context, and ongoing gaps in HIV care. Existing Ryan White HIV/AIDS Program clinicians are prime candidates to serve HIV PCMHs, and HIV-experienced community-based organizations can play an important role. Increasingly, state Medicaid programs are adopting a PCMH care model to improve access and quality to care. Stakeholders should consider several important areas for future action and research with regard to development of the HIV PCMH.