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Changing models of care to improve progression through the HIV treatment cascade in different populations

Changing models of care to improve progression through the HIV treatment cascade in different... Downloaded from http://journals.lww.com/co-hivandaids by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/02/2020 REVIEW URRENT Changing models of care to improve progression PINION through the HIV treatment cascade in different populations a b Charles B. Holmes and Ian Sanne Purpose of review With global guidelines recommending earlier treatment for HIV infection, there will be increased demand for care and treatment services. Although health systems delivering HIV care globally have made advances in decentralizing to lower level health centers and enabling nurse-based delivery of antiretroviral treatment, they remain largely clinic based. Innovators have recently developed newer community-based care delivery models that could extend the capacity of stretched health systems to accommodate further increases in patient volumes. This review will focus on the programme outcomes from new care models and consider their ability to have an impact at scale. Recent findings Numerous patient-centered models of care have been developed to target patients stable on treatment and minimize clinic utilization. In rural areas, these models are aimed at reducing travel times and related costs, whereas models in urban and semi-urban areas focus on decreasing clinic congestion and patient wait times. Each of these models benefits from a focus on community support, and they demonstrate excellent retention in the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Opinion in HIV & AIDS Wolters Kluwer Health

Changing models of care to improve progression through the HIV treatment cascade in different populations

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References (22)

Publisher
Wolters Kluwer Health
ISSN
1746-630X
eISSN
1746-6318
DOI
10.1097/COH.0000000000000194
Publisher site
See Article on Publisher Site

Abstract

Downloaded from http://journals.lww.com/co-hivandaids by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/02/2020 REVIEW URRENT Changing models of care to improve progression PINION through the HIV treatment cascade in different populations a b Charles B. Holmes and Ian Sanne Purpose of review With global guidelines recommending earlier treatment for HIV infection, there will be increased demand for care and treatment services. Although health systems delivering HIV care globally have made advances in decentralizing to lower level health centers and enabling nurse-based delivery of antiretroviral treatment, they remain largely clinic based. Innovators have recently developed newer community-based care delivery models that could extend the capacity of stretched health systems to accommodate further increases in patient volumes. This review will focus on the programme outcomes from new care models and consider their ability to have an impact at scale. Recent findings Numerous patient-centered models of care have been developed to target patients stable on treatment and minimize clinic utilization. In rural areas, these models are aimed at reducing travel times and related costs, whereas models in urban and semi-urban areas focus on decreasing clinic congestion and patient wait times. Each of these models benefits from a focus on community support, and they demonstrate excellent retention in the

Journal

Current Opinion in HIV & AIDSWolters Kluwer Health

Published: Nov 1, 2015

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