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• Alternative Title:
  Clin Infect Dis
• Personal Author:
  Byrd, Kathy K. ; Hou, John G. ; Bush, Tim ; Hazen, Ron ; Kirkham, Heather ; Delpino, Ambrose ; Weidle, Paul J. ; Shankle, Michael D. ; Camp, Nasima M. ; Suzuki, Sumihiro ; Clay, Patrick G.
• Corporate Authors:
  Patient-centered HIV Care Model Team
• Description:
  Background.
  
  Human immunodeficiency virus (HIV) viral suppression (VS) decreases morbidity, mortality, and transmission risk.
  
  Methods.
  
  The Patient-centered HIV Care Model integrated community-based pharmacists with HIV medical providers and required them to share patient clinical information, identify therapy-related problems, and develop therapy-related action plans.
  
  Results.
  
  The 765 enrolled participants were 43% non-Hispanic black, 73% male, with a median age of 48 years; 421 and 649 were included in the adherence and VS analyses, respectively. Overall, proportions adherent to therapy remained unchanged. However, VS improved a relative 15% (75% to 86%, P < .001). Higher PDC (adjusted odds ratio [AOR], 1.74 per 1-level increase in PDC category [95% confidence interval {CI}, 1.30–2.34]) and baseline VS (AOR, 7.69 [95% CI, 3.96–15.7]) were associated with postimplementation VS. Although non-Hispanic black persons (AOR, 0.29 [95% CI, .12–.62]) had lower odds of suppression, VS improved a relative 23% (63% to 78%, P < .001).
  
  Conclusions.
  
  Integrated care models between community-based pharmacists and primary medical providers may identify and address HIV therapy–related problems and improve VS among persons with HIV.
  
  
• Subjects:
  Anti-HIV Agents Antiretroviral Therapy Article Female HIV HIV Infections Humans Male Medication Adherence Middle Aged Patient-Centered Care Patient-centered HIV Care Model Pharmacists Sustained Virologic Response Viral Load

  More +
• Source:
  Clin Infect Dis. 70(5):789-797
• Pubmed ID:
  30953062
• Pubmed Central ID:
  PMC6821576
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Volume:
  70
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:60c9d5f775ac3db0de40048f78e850cdc0665b41284e47e45da84dbf6e6dbb7c
• Download URL:
  https://stacks.cdc.gov/view/cdc/83044/cdc_83044_DS1.pdf
• File Type:
  [PDF - 335.48 KB ]