Details:

Alternative Title:
Clin Infect Dis
Personal Author:
Byrd, Kathy K. ; Hou, John G. ; Bush, Tim ; Hazen, Ron ; Kirkham, Heather ; ... More +
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. ; Less -
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.
Subject:
[+]
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

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 ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:60c9d5f775ac3db0de40048f78e850cdc0665b41284e47e45da84dbf6e6dbb7c
File Type:

Supporting Files

• 	nihms-1055708-f0001.gif	gif
  	nihms-1055708-f0001.jpg	jpeg
  	nihms-1055708.nxml	xml
  	NIHMS1055708-supplement-Supplementary_Figure.pdf	pdf
  	NIHMS1055708-supplement-Supplementary_Material__Censoring.docx	docx

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