Graduate School of Social Service, Fordham University, New York, New York, USA.
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA.
Soc Work Public Health. 2021 May 19;36(4):448-459. doi: 10.1080/19371918.2021.1905131. Epub 2021 Apr 9.
Many individuals who are vulnerable to HIV infection and People Living with HIV (PLWH) experience fragmented prevention and care. Prevention and care service integration, pivotal for the HIV care continuum, depends on relationships among service providers and agencies offering HIV services. Case managers, counselors, and peer educators often work together to provide integrated services through interprofessional collaboration (IPC) in HIV prevention and care. Although these providers have distinct job titles, they typically offer complementary services on the HIV care continuum. To better train and allocate professional development resources for these providers, research is needed to assess the overall differences between provider-type and their demographics, intrapersonal factors, and job characteristics most likely to predict IPC engagement. We administered a cross-sectional survey to 75 counselors, 80 peer educators, and 112 case managers in 36 agencies in New York City. We performed a series of linear mixed effects models. Most of the HIV-service providers identified as Black and female and had been working for their agencies for less than a year. Knowledge and skills, self-efficacy, understanding of the community, and greater work hours (> 35 hours) were significant predictors of endorsement of IPC. Peer educators compared to case managers were more likely to as they provide myriad services. Eliciting perspectives from providers allows us to explore interventions, both intra-agency (trainings, greater exposure to collaborative initiatives, and supervision) and interagency (retention programs and websites promoting provider collaboration), that could facilitate IPC engagement and integrated services across the HIV care continuum.
许多易感染艾滋病毒的个体和艾滋病毒感染者（PLWH）的预防和护理服务都不完整。预防和护理服务的整合对于艾滋病毒护理连续体至关重要，这取决于提供艾滋病毒服务的服务提供者和机构之间的关系。个案经理、顾问和同伴教育者经常通过艾滋病毒预防和护理方面的跨专业合作（IPC）共同提供综合服务。尽管这些提供者有不同的职称，但他们通常在艾滋病毒护理连续体上提供互补的服务。为了更好地培训和分配这些提供者的专业发展资源，需要进行研究，以评估提供者类型及其人口统计学、个人内在因素和最有可能预测 IPC 参与的工作特征之间的总体差异。我们对纽约市 36 个机构的 75 名顾问、80 名同伴教育者和 112 名个案经理进行了横断面调查。我们进行了一系列线性混合效应模型。大多数艾滋病毒服务提供者自认为是黑人，女性，在他们的机构工作不到一年。知识和技能、自我效能、对社区的理解以及更多的工作时间（>35 小时）是支持 IPC 的重要预测因素。同伴教育者比个案经理更有可能支持 IPC，因为他们提供了无数的服务。从提供者那里征求意见使我们能够探索干预措施，包括机构内（培训、更多地参与协作倡议和监督）和机构间（保留计划和促进提供者合作的网站），这些措施可以促进 IPC 参与和艾滋病毒护理连续体上的综合服务。
