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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.


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.