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Cheng QJ, Engelage EM, Grogan TR, et al. Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences. J AIDS Clin Res. 2014;5(11)doi: 10.4172/2155-6113.1000366.
Cheng, Q. J., Engelage, E. M., Grogan, T. R., Currier, J. S., & Hoffman, R. M. (2014). Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences. Journal of AIDS & clinical research, 5(11), . https://doi.org/10.4172/2155-6113.1000366
Cheng, Quen J, et al. "Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences." Journal of AIDS & clinical research vol. 5,11 (2014). doi: https://doi.org/10.4172/2155-6113.1000366
Cheng QJ, Engelage EM, Grogan TR, Currier JS, Hoffman RM. Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences. J AIDS Clin Res. 2014 Nov;5(11). doi: 10.4172/2155-6113.1000366. PMID: 25914854; PMCID: PMC4409003.
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J AIDS Clin Res. 2014 Nov;5(11). doi: 10.4172/2155-6113.1000366.

Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences.

Journal of AIDS & clinical research

Quen J Cheng, Elysia M Engelage, Tristan R Grogan, Judith S Currier, Risa M Hoffman

Affiliations

  1. UCLA Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, USA.
  2. UCLA Division of Infectious Diseases and Center for Clinical AIDS Research and Education, Department of Medicine, David Geffen School of Medicine at UCLA, USA.
  3. Department of Medicine Statistics Core, David Geffen School of Medicine at UCLA, USA.

PMID: 25914854 PMCID: PMC4409003 DOI: 10.4172/2155-6113.1000366

Abstract

BACKGROUND: Non-AIDS co-morbidities are emerging as the main health problems for those living with HIV, and primary care for this population is an evolving challenge. Recent studies have raised the question of whether specialists or generalists are best suited to provide HIV primary care, but patients' actual usage patterns and the preferences of patients and providers have not been well studied.

METHODS: We anonymously surveyed 98 patients and eight HIV-specialized providers regarding primary care usage patterns and preferences at an academic HIV clinic in Los Angeles that serves insured patients.

RESULTS: Fifty-nine percent of patients use their HIV physician as their primary care provider, and 84% would prefer this model. Physicians were divided on their preferred role, with five out of eight desiring to provide both primary care and HIV care. All eight physicians rated their comfort with antiretroviral therapy and opportunistic infections greater than for non-AIDS co-morbidities. Eighty-one percent of patients and seven of eight providers were supportive of having a co-located primary care physician at the HIV clinic.

CONCLUSIONS: We conclude that patients prefer integration of HIV and primary care, but providers have variable desire to serve as primary care physicians and may be uncomfortable with non-AIDS co-morbidities. This raises the need for improved patient-provider communication about primary care needs, and calls for novel ways of systematically providing primary care to HIV-infected patients.

Keywords: AIDS; HIV; Primary care

References

  1. Clin Infect Dis. 2005 Sep 1;41(5):738-43 - PubMed
  2. Sex Transm Infect. 2012 Mar;88(2):132-5 - PubMed
  3. J Am Board Fam Med. 2008 Sep-Oct;21(5):427-40 - PubMed
  4. Clin Infect Dis. 2011 Dec;53(11):1130-9 - PubMed
  5. AIDS Read. 2009 May;19(5):166-8 - PubMed
  6. Clin Infect Dis. 2003 Jun 15;36(12):1577-84 - PubMed
  7. AIDS Patient Care STDS. 2012 Nov;26(11):647-54 - PubMed
  8. Lancet. 2008 Jul 26;372(9635):293-9 - PubMed
  9. AIDS. 2010 Jan 2;24(1):123-37 - PubMed
  10. Clin Infect Dis. 2011 Dec;53(11):1140-2 - PubMed
  11. AIDS Patient Care STDS. 2013 Mar;27(3):171-80 - PubMed
  12. Mt Sinai J Med. 2012 Jul-Aug;79(4):433-50 - PubMed
  13. J Urban Health. 2011 Jun;88(3):556-66 - PubMed

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