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Article: Is there a role for primary care clinicians in providing shared care in HIV treatment? A systematic literature review

TitleIs there a role for primary care clinicians in providing shared care in HIV treatment? A systematic literature review
Authors
Issue Date2012
PublisherB M J Publishing Group. The Journal's web site is located at http://sti.bmjjournals.com/
Citation
Sexually Transmitted Infections, 2012, v. 88 n. 2, p. 125-131 How to Cite?
AbstractBackground: Despite HIV being increasingly considered as a chronic illness, there is as yet no consensus about how primary care should be integrated with specialty care to provide optimal clinical management for people living with HIV. Objective: To examine the effectiveness of shared care models of HIV between primary care and specialty care and how primary care providers can assist in improving the care of people with HIV. Methods: Three databases, PubMed, Medline and EMBase, were searched for relevant terms from studies published in the period from 1996 to 2011. Studies that integrated primary care in HIV management and included highly active antiretroviral therapy (HAART) as part of the treatment modality were included. Results: Eleven studies that met the inclusion criteria were included in this review. Primary care was found to be at least as effective in HIV counselling, testing and treatment and, to a lesser degree, prevention, when compared with specialty care alone. Screening for HIV at a primary care level was cost-effective, especially in a high HIV prevalence and high-risk community. There were no significant adverse clinical outcomes reported in a primary care approach. Effectiveness of various interventions using a primary care approach was demonstrated in the review, including HAART adherence programmes, home care, the involvement of peer health workers and perinatal use of HAART. Conclusions: Primary care has an important role in the shared care of the diagnosis and management of people with HIV. Some improvements with current guidelines on the management in primary care of people with HIV in developing countries should be considered.
Persistent Identifierhttp://hdl.handle.net/10722/168683
ISSN
2015 Impact Factor: 3.015
2015 SCImago Journal Rankings: 2.142
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, WCWen_US
dc.contributor.authorLuk, CWen_US
dc.contributor.authorKidd, MRen_US
dc.date.accessioned2012-10-08T03:29:01Z-
dc.date.available2012-10-08T03:29:01Z-
dc.date.issued2012en_US
dc.identifier.citationSexually Transmitted Infections, 2012, v. 88 n. 2, p. 125-131en_US
dc.identifier.issn1368-4973en_US
dc.identifier.urihttp://hdl.handle.net/10722/168683-
dc.description.abstractBackground: Despite HIV being increasingly considered as a chronic illness, there is as yet no consensus about how primary care should be integrated with specialty care to provide optimal clinical management for people living with HIV. Objective: To examine the effectiveness of shared care models of HIV between primary care and specialty care and how primary care providers can assist in improving the care of people with HIV. Methods: Three databases, PubMed, Medline and EMBase, were searched for relevant terms from studies published in the period from 1996 to 2011. Studies that integrated primary care in HIV management and included highly active antiretroviral therapy (HAART) as part of the treatment modality were included. Results: Eleven studies that met the inclusion criteria were included in this review. Primary care was found to be at least as effective in HIV counselling, testing and treatment and, to a lesser degree, prevention, when compared with specialty care alone. Screening for HIV at a primary care level was cost-effective, especially in a high HIV prevalence and high-risk community. There were no significant adverse clinical outcomes reported in a primary care approach. Effectiveness of various interventions using a primary care approach was demonstrated in the review, including HAART adherence programmes, home care, the involvement of peer health workers and perinatal use of HAART. Conclusions: Primary care has an important role in the shared care of the diagnosis and management of people with HIV. Some improvements with current guidelines on the management in primary care of people with HIV in developing countries should be considered.en_US
dc.languageengen_US
dc.publisherB M J Publishing Group. The Journal's web site is located at http://sti.bmjjournals.com/en_US
dc.relation.ispartofSexually Transmitted Infectionsen_US
dc.subject.meshDelivery Of Health Care - Methods - Organization & Administrationen_US
dc.subject.meshHiv Infections - Diagnosis - Drug Therapyen_US
dc.subject.meshHumansen_US
dc.subject.meshPrimary Health Care - Methods - Trendsen_US
dc.titleIs there a role for primary care clinicians in providing shared care in HIV treatment? A systematic literature reviewen_US
dc.typeArticleen_US
dc.identifier.emailWong, WCW:wongwcw@hku.hken_US
dc.identifier.authorityWong, WCW=rp01457en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1136/sextrans-2011-050170en_US
dc.identifier.pmid22345026-
dc.identifier.scopuseid_2-s2.0-84857417912en_US
dc.identifier.hkuros204143-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84857417912&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume88en_US
dc.identifier.issue2en_US
dc.identifier.spage125en_US
dc.identifier.epage131en_US
dc.identifier.isiWOS:000300638300010-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridWong, WCW=25230779000en_US
dc.identifier.scopusauthoridLuk, CW=55019670500en_US
dc.identifier.scopusauthoridKidd, MR=7102389330en_US

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