Snyder C M, Kaempfer S H, Ries K
Division of Infectious Diseases, University of Utah Health Sciences Center, Salt Lake City, USA.
J Assoc Nurses AIDS Care. 1996 Sep-Oct;7(5):72-82. doi: 10.1016/S1055-3290(96)80050-1.
The epidemic of dually diagnosed patients with HIV disease (HIV disease coexisting with substance abuse and/or mental illness) has become increasingly recognized. This phenomenon poses potential threats to the effectiveness of HIV primary care, even when delivered by expert clinicians. This article describes implementation strategies for the provision, documentation, and third party billing of interdisciplinary, interagency HIV primary care case management within the context of an academic medical center. Our approach, which is specific to our setting, has evolved as we have attempted to define an active role for the primary care physician as a member of the case management team.
同时患有人类免疫缺陷病毒（HIV）疾病（HIV疾病与药物滥用和/或精神疾病并存）的患者群体日益受到关注。这种现象对HIV初级保健的有效性构成了潜在威胁，即便由专业临床医生提供服务也是如此。本文介绍了在学术医疗中心背景下，提供、记录和第三方计费跨学科、跨机构HIV初级保健病例管理的实施策略。我们的方法是针对我们的具体情况而定的，并且随着我们试图明确初级保健医生作为病例管理团队成员的积极作用而不断发展。
