C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada.
Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
PLoS One. 2019 Jul 26;14(7):e0220516. doi: 10.1371/journal.pone.0220516. eCollection 2019.
With the advent of continuous antiretroviral therapy, HIV has become a complex chronic, rather than acute, condition. The Chronic Care Model (CCM) provides an integrated approach to the delivery of care for people with chronic conditions that could therefore be applied to the delivery of care for people living with HIV. Our objective was to assess the alignment of HIV care settings with the CCM. We conducted a mixed methods study to explore structures, organization and care processes of Canadian HIV care settings. The quantitative results of phase one are published elsewhere. For phase two, we conducted semi-structured interviews with key informants from 12 HIV care settings across Canada. Irrespective of composition of the care setting or its location, HIV care in Canada is well aligned with several components of the CCM, most prominently in the areas of linkage to community resources and delivery system design with inter-professional team-based care. We propose the need for improvements in the availability of electronic clinical information systems and self-management support services to support better care delivery and health outcomes among people living with HIV in Canada.
随着持续抗逆转录病毒疗法的出现，艾滋病毒已成为一种复杂的慢性疾病，而不是急性疾病。慢性疾病护理模式（CCM）为慢性病患者的护理提供了一种综合方法，因此可以应用于艾滋病毒感染者的护理。我们的目的是评估艾滋病毒护理环境与 CCM 的一致性。我们开展了一项混合方法研究，以探索加拿大艾滋病毒护理环境的结构、组织和护理流程。第一阶段的定量结果已在其他地方发表。在第二阶段，我们对加拿大 12 个艾滋病毒护理环境的主要信息提供者进行了半结构式访谈。无论护理环境的组成或其所在地如何，加拿大的艾滋病毒护理都与 CCM 的几个组成部分高度一致，在与社区资源的联系以及跨专业团队为基础的护理的交付系统设计方面最为突出。我们提出需要改进电子临床信息系统和自我管理支持服务的提供，以支持加拿大艾滋病毒感染者更好地进行护理和改善健康结果。
