Bernard Stephanie, Tailor Amrita, Jones Patricia, Alexander Donna E
Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention.
Calif J Health Promot. 2016;14(1):1-14.
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.
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.
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.
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.
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.
约120万美国人感染了艾滋病毒，每年新增感染病例约5万例。艾滋病毒感染者有众多医疗和心理社会需求，这些需求会影响艾滋病毒疾病的进展，并对治疗结果构成挑战。
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，我们研究了当地卫生部门为实施PCSI以满足其艾滋病毒患者多样化需求所采取的策略、面临的挑战以及吸取的经验教训。
我们通过以下方式获取案例研究数据：1）对关键项目管理人员进行半结构化访谈，2）分析项目文件，3）实地观察和审查诊所程序。
研究结果凸显了服务同址设置、合作以利用资源以及开展工作人员交叉培训的重要性。提供同址服务减少了等待时间，加强了护理协调。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。工作人员交叉培训带来了更协调的护理和更高效的服务提供。
结果表明，PCSI对于为艾滋病毒感染者提供最佳护理至关重要。纳入PCSI是卫生部门全面应对其艾滋病毒感染客户多种医疗和支持服务需求方法的重要组成部分。
