Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Are HIV Care Models Equally Effective?

Open Forum Infect Dis; ePub 2016 Nov 17; Rhodes, et al

Multiple HIV care models are effective with respect to HIV quality metrics, according to a recent study. Using the Partners HIV cohort, 1,565 patients were categorized into 3 HIV care models: infectious disease provider only (ID), generalist only (generalist), or infectious disease provider and generalist (ID plus generalist). 12 HIV quality indicators utilized by 5 major medical and quality associations were examined and grouped into 4 domains: process, screening, immunization, and HIV management. Researchers found:

  • Significant differences between HIV care models were observed.
  • The ID plus generalists group achieved significantly higher quality measures compared to the ID group in HIV management (94.4% vs 91.7%), and higher quality measures vs generalists in immunization (87.8% vs 80.6%).
  • All models achieved rates that equaled or surpassed previously reported quality indicator rates.

Citation:

Rhodes CM, Chang Y, Regan S, Signer DE, Triant VA. HIV quality indicators are similar across HIV care delivery models. [Published online ahead of print November 17, 2016]. Open Forum Infect Dis. doi:10.1093/ofid/ofw240.

This Week's Must Reads

Antimicrobial Stewardship in the ED to Improve UTI, Open Forum Infect Dis; ePub 2018 May 2; Jorgensen, et al

Acute Respiratory Illness in Pregnant Women, J Infect Dis; ePub 2018 May 5; Hause, et al

Incidence of Syphilis in HIV-infected Persons, Clin Infect Dis; ePub 2018 Apr 24; Novak, et al

Environmental Panels to Combat MRSA and VRE, Clin Infect Dis; ePub 2018 May 2; Cassone, et al

ACIP Recommends Hepatitis B Vaccine for Adults, MMWR; 2018 Apr 20; Schillie, Harris, et al

Must Reads in HIV

Incidence of Syphilis in HIV-infected Persons, Clin Infect Dis; ePub 2018 Apr 24; Novak, et al

Sleep Apnea and Heart Failure in HIV, Clin Infect Dis; ePub 2018 Apr 19; Alvi, et al

Depression & All-Cause Mortality in Women with HIV, Clin Infect Dis; ePub 2018 Mar 30; Mills, et al

Challenges in Patients with HIV/TB Coinfection, Open Forum Infect Dis; ePub 2018 Mar 21; Schechter, et al

Female HIV-1 Risk in Pregnancy and Postpartum, J Infect Dis; ePub 2018 Mar 5; Thomson, et al