HIV Care Continuum: A Case Study

citizens lack basic access to services. For example, many rural clinics do not have adequate

Also, we would work with Human Resources to provide the patients with any resources available to them to help with their services, such as the Ryan White HIV/AIDS Program. “The Ryan White CARE Act was passed in fiscal year 1990 to fund community based HIV care and support services for low-income, uninsured, and underinsured people” (Cahill, Mayer, & Boswell, 2015). We want to not only serve our patients with the highest ethical standard, but we want to provide them with resources to connect them with an easier way in dealing with their

This act provided support for “adult care though funding of local planning councils that distribute funds to clinics on a competitive basis or via direct funding from Health Resources and Services Administration to clinics that provide comprehensive HIV primary care” (Saag 166). With this legislation, those facing the psychosocial burden of stigma are able to seek proper medical care in a judgment-free zone in a Ryan White HIV specialty clinic, with locations all over the country. Services that these clinics provide include “primary medical care, case management, psychological counseling, social services, pharmacy consultation, substance use treatment, palliative care, subspecialty medical services, spiritual counseling, adherence counseling, and capacity to see "drop in" patients” (Saag

Out of the 52 recipients who reported funding medical case management as a core medical service, 88% or 46 recipients reported at least one medical case management performance measure. According to the results presented from the recipients regarding information from the medical case management performance measures: 36 recipients reported the use of medical visit frequency, 32 reported data for care plan, and 20 reported data for adherence counseling and assessment.

One structural factor that facilitated linkage to care was having HIV medical care providers collocated at the agency providing the case management intervention. This finding suggests that the accessibility of medical services during initial case management or referral activities is an important structural factor that promotes entry into care. Another factor that was associated with receiving HIV medical care was the number of case management sessions that participants attended (Craw, et al., 2008).

medical resources at our disposal, the present health care system is inefficient and does not quite

Health care systems around the world are in a complete and utter mess. Where America, being one of the major powers of the world, is still struggling with the concept of providing free healthcare to its citizens, Britain has been facing problems over provision of healthcare for child development and to women and men living with low income for a long time. Asian and South Asian countries like Afghanistan, Bangladesh, Pakistan and India face severe issues in implementation of health policies due to a large population of the countries living below the poverty line. The African continent is suffering even more with nutritional diseases due to lack of

Utilization of health services may vary for many several reasons (such as perceptions of benefits or availability, availability of alternative therapies or services) and is an imperfect measure of access (Steinbach, 2009). For example, health service utilization is often 0.5 - 1.0 new consultations per person per year in stable populations. In emergency-affected populations, this often rises to an average of 4.0 new consultations per person per year. If utilization is substantially lower than this,

To combat this disease, AmeriHealth Caritas District of Columbia offers specialized care management to the newly diagnosed, and those who have fallen out of care. At AmeriHealth Caritas DC, we are making great strides within our HIV/AIDS component (Positive Pathways). Specialized care management is an essential part of the program. The program enrolls members that are HIV positive. Positive Pathways community health outreach workers provide specialized care management to our members for a year to ensure they are going to the doctors and taking their medication. More specifically, our members are linked to care, and provided with resources.

Emerging in the early 1980s, HIV/AIDS was an unknown disease that spread rapidly throughout the United States. In the beginning not much information was found due to this being a very new disease with a completely unknown background. As decades passed, research has increased as well as the number of cases of people reporting that they are infected. Being that 1 out of every 4 people are infected with HIV/AIDS, this disease has had such an immense impact socially, domestically, as well as politically. Due to this increase in cases, the United States Congress passed the CARE Act (Comprehensive AIDS Resources Emergency Act). Named after a young AIDS activist, Ryan White, the CARE Act helps primarily fund health care and support services for

The performance measures are primarily focused on the HIV Care Continuum. The HIV Care Continuum focuses on diagnosing HIV, linking HIV-positive patients to care, retaining patients in care, prescribing antiretroviral therapy (ART), and achieving viral suppression. In order to measure these five steps of the HIV Care Continuum, grantees report medical visits, prescribed ART and viral load suppression. Forty-one grantees reported data for viral load suppression, 38 for prescribed ART, and 41 for medical visits frequency.

access to health and social are services, areas with low income households may have poor facilities than wealthier areas. Although the National Health Service provides free health care for everyone, there are Concerns that some groups of people may not receive the same quality of access to GP services and to preventative health services as

In order to have an accurate overview of the HIV epidemic of all medical center, reports on the positively diagnosed patients, care and treatment provided and notification of HIV deaths are documented. This aids in the determination of the prevalence of the disease within each of the regions and the impact the disease has on the country (MOH, 2013).

Most HIV related service effectiveness research has been conducted within the past decade due to the relatively recent discovery of the disease, treatment, and implementation of aid. For this reason, many researchers are analyzing the impact of social services for people living with HIV with the purpose of improving future HIV related services. From their research, there are many possible areas for further examination into the impact of social services. There is currently a need for better-conducted research into the impact of HIV care and evaluation of services already being provided. The transmission of HIV is often spread to a great extent in areas of low socioeconomic status due to factors such as lower levels of education, increased sex work, and lack of access

Access to healthcare has been a factor for patients livening with HIV/AIDS in promoting and sustaining health. The advances of HIV/AIDS over the years have been a step in the direction of understanding of how best to deliver primary care while at the same time give the accessibility of new medication regimens. People living with HIV/AIDS are now living longer lives through medical advancements through medication therapy and by practicing a healthy lifestyle. A first step in ensuring that patients are actively involved in their care is to create systems that include mechanisms for coordination and communication of care. Furthermore, efforts starting with the community on receiving educational information about the