Jacobs J L, Damson L C, Rogers D E
Center for Special Studies, New York Hospital/Cornell University Medical Center, New York 10021, USA.
Bull N Y Acad Med. 1996 Winter;73(2):301-13.
The human immunodeficiency virus (HIV) epidemic poses unprecedented challenges to the health-care system. Caregivers must contend both with the complicated clinical syndromes associated with HIV infection and with issues that are central to the epidemic, such as discrimination, isolation, poverty, and substance abuse. Our HIV treatment program combines and enhances the resources of an academic medical center in a multidisciplinary care model. All patients, regardless of payor class, are offered services from 10 different disciplines. The same team of clinicians follows patients in the clinic and hospital. The program is flexible, non-hierarchical, and open to community participation. This approach may be a useful model for other institutions.
人类免疫缺陷病毒（HIV）流行给医疗保健系统带来了前所未有的挑战。护理人员必须应对与HIV感染相关的复杂临床综合征，以及该流行病核心的问题，如歧视、隔离、贫困和药物滥用。我们的HIV治疗项目在多学科护理模式下整合并增强了学术医疗中心的资源。所有患者，无论支付者类别如何，都能获得来自10个不同学科的服务。同一组临床医生在诊所和医院跟踪治疗患者。该项目灵活、没有等级制度，并且向社区参与开放。这种方法可能对其他机构是一个有用的模式。
