通过项目协作和服务整合(PCSI)解决艾滋病毒感染者(PLWH)的医疗和支持服务需求。

Stephanie Bernard, Amrita Tailor, Patricia Jones, Donna E Alexander
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引用次数: 0

摘要

背景:大约有120万美国人感染艾滋病毒,每年约有5万例新感染。艾滋病毒感染者有许多医疗和社会心理需求,这些需求会影响艾滋病毒疾病的进展并挑战治疗结果。目的:利用美国疾病控制与预防中心的项目协作与服务整合(PCSI)框架,我们研究了策略、挑战和从当地卫生部门制定PCSI以解决其艾滋病毒患者多样化需求的努力中吸取的教训。方法:我们通过以下方式获取案例研究数据:1)与关键项目管理人员的半结构化访谈,2)对项目文件的分析,以及3)现场观察和临床程序的回顾。结果:调查结果强调了共同安置服务、合作利用资源以及开展人员交叉培训的重要性。提供同一地点的服务减少了等待时间,并加强了护理协调。通过合作利用资源增加了患者转诊,并改善了获得综合服务的机会。工作人员的交叉培训使护理更加协调,服务更加有效。结论:PCSI对PLWH患者的最佳护理至关重要。纳入PCSI是卫生部门解决其艾滋病毒感染客户的多种医疗和支助服务需求的综合办法的一个重要组成部分。
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Addressing the Medical and Support Service Needs of People Living with HIV (PLWH) through Program Collaboration and Service Integration (PCSI).

Background: Approximately 1.2 million Americans are living with HIV, and about 50,000 new infections occur each year. People living with HIV (PLWH) have numerous medical and psychosocial needs that impact HIV disease progression and challenge treatment outcomes.

Purpose: Using CDC's Program Collaboration and Service Integration (PCSI) framework, we examined strategies, challenges, and lessons learned from a local health department's efforts to institute PCSI to address the diverse needs of their patients with HIV.

Methods: We captured case study data through: 1) semi-structured interviews with key program administrators, 2) analysis of program documents, and 3) site observations and review of clinic procedures.

Results: Findings highlight the importance of co-locating services, partnering to leverage resources, and conducting cross-training of staff. Providing co-located services reduced wait times and enhanced coordination of care. Partnering to leverage resources increased patient referrals and enhanced access to comprehensive services. Staff cross-training resulted in more coordinated care and efficient service delivery.

Conclusion: The results show that PCSI is essential for optimal care for PLWH. Incorporating PCSI was a vital component of the health department's comprehensive approach to addressing the multiple medical and support service needs of its HIV-infected clients.

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