Interdisciplinary Care Models for the Delivery of HIV/AIDS Care and Treatment Among Ryan White HIV/AIDS Program Grantees

Dates: 2011-2012

Geographic Scope: Nationwide

Client(s): HRSA - HAB

Services: Health Care & Public Health Planning, Applied Research & Evaluation

Technical Expertise: Chronic Disease Management, HIV & Infectious Diseases, Integrated Care Models

HIV remains a complex disease that requires comprehensive, coordinated care to ensure optimal outcomes. In the U.S., interdisciplinary models of care have developed over time to achieve this goal. These models may be increasingly important in an era of healthcare reform in the U.S.

The US Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau contracted with JSI to study interdisciplinary models of HIV care in clinical sites funded by the Ryan White HIV/AIDS Program (RWHAP), the federally-funded “safety net” for uninsured and underinsured people living with HIV.

As part of the study, JSI conducted a comprehensive literature review, consultations with national experts, and site visits with nine RWHAP-funded organizations in the US that have implemented successful interdisciplinary HIV care models. The results of the study were published in AIDS Care: Interdisciplinary HIV care in a changing healthcare environment in the USA.

Findings suggest that successful models of interdisciplinary HIV care include: (1) patient-centered, one-stop-shop approaches with integrated or co-located services; (2) diverse teams of clinical and nonclinical providers; (3) a site culture that promotes a stigma reducing environment for clients; (4) the availability of a comprehensive array of medical, behavioral health, and psychosocial services; (5) effective communication strategies, including electronic health records; and (6) a focus on quality. RWHAP funding was also critical in sustaining these programs.