4131.0: Tuesday, November 14, 2000: 12:30 PM-2:00 PM

Ancillary Services' Role in Improving Access to and Retention in HIV Primary Care: Part I

Several studies have shown that vulnerable people living with HIV (PLWH) in the United States do not receive optimal primary care. The Ryan White CARE Act was designed to provide services to PLWH who lack health insurance. A substantial share of CARE Act funds go to ancillary services intended to enhance quality primary care. However, until recently, few evaluations of the impact of these services were available. In 1998 the HIV/AIDS Bureau at HRSA funded eight grantees to examine relationships between receipt of ancillary services and access to and retention in primary care. Diverse geographic regions and target populations representing all CARE Act titles were evaluated. Ancillary services evaluated included case management, mental health services, outreach, transportation, translation, chemical dependency treatment, legal assistance, housing, food/nutrition services, child care, alternative therapies, peer support, and nursing care. Several study sites found that the total number of ancillary services received was strongly associated with both patients' entry into medical care and their receipt of optimal quarterly or biannual primary medical care. The types of ancillary services associated with primary care varied among different target populations. Individual ancillary services associated with optimal care at many sites included transportation, mental health services, case management, chemical dependency treatment, and peer support. Several sites showed that associations between ancillary service receipt and optimal primary care were strongest among patients with a documented need for the ancillary services. Overall, certain ancillary services seem most important for optimal primary care; these may best be tailored to specific target populations
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Presider(s):Richard Conviser, PhD
12:30 PMHIV services: The impact of ancillary services on retention in primary care
Wilson Lo, MBA, MA, Ted MacGovern
12:30 PMAncillary support services significantly increased access to and retention in HIV primary care at the CORE Center in 19971998
Kimberly A. Stieglitz, DNSc, RN, CS, Jyothi Narra, MD, John Jasek, BA, Lynn Green, BA, Billie Moore, Susan Shott, PhD, Mardge Cohen, MD, Renslow Sherer, MD
12:30 PMAssessing the impact of ancillary services on medical care outcomes: The New York City study
David Abramson, MPH, Peter Messeri, PhD, Fleur Lee, MPH, Gunjeong Lee, MA, Angela Aidala, PhD
12:30 PMRelation of ancillary services to clients' receipt of medical care
Christopher J Conover, PhD, Liyun Yu, PhD, Kathryn Whetten-Goldstein, PhD, MPH
Cosponsors:Community Health Planning and Policy Development; Food and Nutrition; Lesbian, Gay, Bisexual, and Transgender Caucus of Public Health Workers; Social Work; Socialist Caucus

The 128th Annual Meeting of APHA