142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

State of HIV Primary Care Integration: Results of a National Provider Survey

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 1:30 PM - 1:45 PM

Jamie Orose, MPA , HealthHIV, Washington, DC
Michael D. Shankle, MPH , HealthHIV, Washington, DC
Brian Hujdich, BS , HealthHIV, Washington, DC
The HIV landscape has changed dramatically with the Affordable Care Act (ACA), National HIV/AIDS Strategy, and the HIV Care Continuum Initiative. In order to understand this changing environment, our team conducted the Third Annual State of HIV Primary Care Survey.  The online instrument consisted of 56 questions.  Recruitment included targeted email lists, monthly newsletters and website postings.  Data were collected between March and June 2013.  Survey was convenience sampled and no incentive was provided for participation.  Findings highlight an aging workforce struggling to meet the demand for HIV services and the migration of HIV specialists into primary care.  PCPs saw increases in various co-morbidities including obesity, hepatitis C (HCV) and depression.  PCPs cited retention in care as their biggest challenge and cited a strong patient-provider relationship as a best practice for retaining patients. PCPs faced structural barriers to providing HIV care, cited a lack of readiness to implement ACA, and believed an increase in access to care would not necessarily translate to an increase in quality care for HIV patients. Common educational needs cited were HCV, retention in care, antiretroviral therapy, and PrEP.  PCPs face workforce challenges will exacerbate as more HIV patients enter care.  Findings indicate a need to recruit and educate PCPs on HIV as well as leverage HIV specialists as mentors. Furthermore, results highlight the co-occurrence of conditions related to mental health and aging. PCPs need to be educated on addressing these challenges and implementing the ACA in order to provide quality care for HIV patients.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public

Learning Objectives:
Describe the findings of the Third Annual State of HIV Primary Care Survey. Discuss the implications of survey findings on the HIV Primary Care workforce. Identify the educational needs of PCPs that both treat and do not treat HIV. Compare the differing perspectives on HIV primary care integration of PCPs that treat and do not treat HIV. Describe the issues that need to be addressed in order to integrate HIV into primary care.

Keyword(s): HIV/AIDS, Workforce Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Director of Capacity Building Services with HealthHIV. I have worked in providing intensive capacity building/technical assistance services to health centers, community-based organizations, clinical providers for the last five years. These services have been provided on behalf of CDC and HRSA. I have coauthored several peer-reviewed articles on the topic of capacity building needs of HIV clinical providers in the era of health care reform.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.