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Physician assistant HIV primary care

Brian R Wood, Vanessa M McMahan, Kelly Naismith, Jonathan B Stockton, Lori A Delaney, Joanne D Stekler
BACKGROUND: We aimed to assess HIV pre-exposure prophylaxis (PrEP) awareness and prescribing practices among Washington State medical providers from diverse professional disciplines and practice types. METHODS: In May 2016, we administered an anonymous online survey to licensed medical practitioners who provide primary, longitudinal, walk-in, emergency, obstetric, gynecologic, sexually transmitted infection (STI), or family planning care. RESULTS: Of 735 eligible providers, 64...
January 4, 2018: Sexually Transmitted Diseases
Claire E Kendall, Lisa M Boucher, Amy E Mark, Alana Martin, Zack Marshall, Rob Boyd, Pam Oickle, Nicola Diliso, Dave Pineau, Brad Renaud, Tiffany Rose, Sean LeBlanc, Mark Tyndall, Olivia M Lee, Ahmed M Bayoumi
BACKGROUND: The health of people who use drugs (PWUD) is characterized by multimorbidity and chronicity of health conditions, necessitating an understanding of their health care utilization. The objective of this study was to evaluate emergency department (ED) visits and hospital admissions among a cohort of PWUD. METHODS: We used a retrospective observational design between 2012 and 2013. The population was a marginalized cohort of PWUD (the PROUD study) for whom survey data was linked (n = 663) to provincial health administrative data housed at the Institute for Clinical Evaluative Sciences...
May 12, 2017: Harm Reduction Journal
Misheck J Nkhata, Margaret Muzambi, Deborah Ford, Adrienne K Chan, George Abongomera, Harriet Namata, Ivan Mambule, Annabelle South, Paul Revill, Caroline Grundy, Travor Mabugu, Levison Chiwaula, James Hakim, Cissy Kityo, Andrew Reid, Elly Katabira, Sumeet Sodhi, Charles F Gilks, Diana M Gibb, Janet Seeley, Fabian Cataldo
BACKGROUND: Lablite is an implementation project supporting and studying decentralized antiretroviral therapy (ART) rollout to rural communities in Malawi, Uganda and Zimbabwe. Task shifting is one of the strategies to deal with shortage of health care workers (HCWs) in ART provision. Evaluating Human Resources for Health (HRH) optimization is essential for ensuring access to ART. The Lablite project started with a baseline survey whose aim was to describe and compare national and intercountry delivery of ART services including training, use of laboratories and clinical care...
November 16, 2016: BMC Health Services Research
Christian Grov, Demetria Cain, Thomas H F Whitfield, H Jonathon Rendina, Mark Pawson, Ana Ventuneac, Jeffrey T Parsons
We describe enrollment for the One Thousand Strong panel, present characteristics of the panel relative to other large U.S. national studies of gay and bisexual men (GBM), and examine demographic and behavioral characteristics that were associated with passing enrollment milestones. A U.S. national sample of HIV-negative men were enrolled via an established online panel of over 22,000 GBM. Participants (n = 1071) passed three milestones to join our panel. Milestone 1 was screening eligible and providing informed consent...
March 1, 2016: Sexuality Research & Social Policy
Pamela Morgan, Lois Siegle, Jennifer Huggins
BACKGROUND: Streptococcus pneumoniae is a leading cause of severe infections, including pneumonia and meningitis, among immunocompromised patients. The administration of both the 13-valent pneumococcal conjugate vaccine (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23) is indicated for patients with immunocompromising conditions per U.S. Advisory Committee on Immunization Practices (ACIP) guidelines. The aim of this project was to increase the percentage of immunocompromised patients 11 years and older seen in the Inflammatory Bowel Disease (IBD) clinics at Cincinnati Children's Hospital Medical Center (CCHMC) who receive PCV13 vaccine from less than 5% to 80%...
March 2016: Inflammatory Bowel Diseases
Tracy Davis, Pamela B Teaster, Alice Thornton, John F Watkins, Linda Alexander, Faika Zanjani
PURPOSE: To explore primary care providers' HIV prevention practices for older adults. Primary care providers' perceptions and awareness were explored to understand factors that affect their provision of HIV prevention materials and HIV screening for older adults. DESIGN AND METHOD: Data were collected through 24 semistructured interviews with primary care providers (i.e., physicians, physician assistants, and nurse practitioners) who see patients older than 50 years...
December 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Mary Zielinski, Shu-Yin J Leung, Tugba Akkaya-Hocagil, Kirsten A Rowe, Christina Ortega-Peluso, Lou C Smith
BACKGROUND: The New York State (NYS) HIV Testing Law of 2010 mandates that medical providers offer HIV testing to patients aged between 13 and 64 years during primary care, to increase the number of people aware of their infection status, and to ensure linkage to medical treatment. To assess physician practices related to this legislation, we conducted a study to identify the frequency and correlates of routine HIV testing behavior among primary care physicians approximately 15 months after the new law went into effect...
January 1, 2015: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Kristen Underhill, Kathleen M Morrow, Christopher M Colleran, Richard Holcomb, Don Operario, Sarah K Calabrese, Omar Galárraga, Kenneth H Mayer
BACKGROUND: Pre-exposure prophylaxis (PrEP) is a promising strategy for HIV prevention among men who have sex with men (MSM) and men who engage in sex work. But access will require routine HIV testing and contacts with healthcare providers. This study investigated men's healthcare and HIV testing experiences to inform PrEP implementation. METHODS: We conducted 8 focus groups (n = 38) in 2012 and 56 in-depth qualitative interviews in 2013-14 with male sex workers (MSWs) (n = 31) and other MSM (n = 25) in Providence, RI...
2014: PloS One
Amy McQueen, Enbal Shacham, Walton Sumner, E Turner Overton
OBJECTIVES: To examine beliefs, prior use, and interest in using pharmacotherapy among people living with HIV/AIDS (PLWHA). METHODS: Cross-sectional survey of smokers in a midwestern HIV clinic. RESULTS: The sample (N = 146) included 69% men, 82% African Americans, 45% were in precontemplation for quitting, and 46% were interested in using pharmacotherapy. Primary reasons for non-use included cost and a belief that they would be able to quit on their own...
March 2014: American Journal of Health Behavior
Angela Ortega López, José Miguel Morales Asencio, Cristóbal Rengel Díaz, Eloísa María Peñas Cárdenas, María José González Rodríguez, Rut Prado de la Sierra
AIM: To determine the opinions of infectious diseases professionals on the possibilities of monitoring patients with HIV in Primary Care. DESIGN: Qualitative study using in-depth interviews. LOCATION: Infectious Diseases Unit in the University Hospital "Virgen de la Victoria" in Málaga. PARTICIPANTS: Health professionals with more than one year experience working in infectious diseases. A total of 25 respondents: 5 doctors, 15 nurses and 5 nursing assistants...
April 2014: Atencion Primaria
Mamle Anim, Ronald J Markert, Nkeiruka E Okoye, Wissam Sabbagh
BACKGROUND: HIV screening is recommended for all patients between the ages of 13 and 64 years. OBJECTIVE: To increase the rate of HIV screening in a primary care setting by routinely offering HIV screening to all patients. METHODS: All patients seen over a 3-month period in the authors' clinic were offered HIV screening by a medical assistant. RESULTS: During the 3-month study period, 17% of patients offered HIV testing accepted screening, a large increase from the less than 1% rate of an earlier time period...
January 2013: Journal of Primary Care & Community Health
Kathleen R Jacobson, Annie Wong, Lilia Espinoza, Jenica Ryu, Ron Chacko, Dixie Fisher, Jerry D Gates
HIV patients in a rural California community were inconsistently receiving optimum HIV care. A local primary care physician assumed the care of these patients and contacted an experienced HIV provider for assistance. This report describes a three-step onsite training program that was implemented and the ensuing successful patient outcomes.
November 2012: Journal of Health Care for the Poor and Underserved
Heide Castañeda
This article discusses health concerns of migrant street-based male sex workers (SMSW) in Germany, a population that remains underexplored by health and social scientists. It is based on five months of ethnographic research in 2011/2012, including 46 semi-structured interviews with physicians, social workers, health department staff, and SMSW from Romania and Bulgaria. This is supplemented with annual reports by organizations providing assistance to this population in eight cities. The article contributes, first, an analysis of the increase in migrant SMSW as a response to economic opportunities (freedom of movement across European Union borders) and constraints (transitional measures restricting access to the labor market)...
May 2013: Social Science & Medicine
Esther K Choo, Megan L Ranney, Michael J Mello, Melissa A Clark, Tina Charest, Christine Followill Garro, Karina Bertsch, Saskia Larsen, Caron Zlotnick
BACKGROUND: Prior studies of adult entertainment club employees have been qualitative and lacked information regarding a range of important health factors. METHODS: Sixty-nine female club employees completed a computer-assisted survey on healthcare access and health behaviors. An age-matched comparison sample was obtained from the Behavioral Risk Factor Surveillance System. Researchers calculated descriptive characteristics and developed multivariable logistic regression models to provide the adjusted odds of health factors...
2012: Women & Health
Michelle Perron Pronsati
No abstract text is available yet for this article.
July 2012: Advance for NPs & PAs
Joseph D Tucker, Rochelle P Walensky, Li-Gang Yang, Bin Yang, David R Bangsberg, Xiang-Sheng Chen, Myron S Cohen
Despite expanding sexually transmitted epidemics in South China, the majority of patients presenting to sexually transmitted infection (STI) clinics are not routinely screened for HIV infection. Identifying barriers to offering HIV testing among STI care providers is an important public health priority. The aim of this study was to investigate the frequency of offering HIV testing among STI care providers in South China and reported physician barriers to offering HIV testing. More detailed operational data regarding HIV test offer frequency and barriers to testing may enhance routine HIV testing at STI clinics...
2012: AIDS Care
Linda Weiss, Julie Netherland, James E Egan, Timothy P Flanigan, David A Fiellin, Ruth Finkelstein, Frederick L Altice
BACKGROUND: Replication of effective practices requires detailed descriptions of implementation processes, barriers and facilitators, and lessons learned. The experiences of physicians leading the Buprenorphine HIV Evaluation and Support initiative provides valuable information for other HIV providers seeking to integrate medication-assisted treatment services into HIV clinical care. METHODS: Evaluation staff conduced site visits to the 10 funded Buprenorphine HIV Evaluation and Support programs to better understand buprenorphine/naloxone (bup/nx) integration practices; services offered; staffing; provider experiences with and perceptions of bup/nx; perceived barriers, facilitators, and sustainability; and recommendations regarding replication of integrated care program components...
March 1, 2011: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Andrew H Limper, Kenneth S Knox, George A Sarosi, Neil M Ampel, John E Bennett, Antonino Catanzaro, Scott F Davies, William E Dismukes, Chadi A Hage, Kieren A Marr, Christopher H Mody, John R Perfect, David A Stevens
With increasing numbers of immune-compromised patients with malignancy, hematologic disease, and HIV, as well as those receiving immunosupressive drug regimens for the management of organ transplantation or autoimmune inflammatory conditions, the incidence of fungal infections has dramatically increased over recent years. Definitive diagnosis of pulmonary fungal infections has also been substantially assisted by the development of newer diagnostic methods and techniques, including the use of antigen detection, polymerase chain reaction, serologies, computed tomography and positron emission tomography scans, bronchoscopy, mediastinoscopy, and video-assisted thorascopic biopsy...
January 1, 2011: American Journal of Respiratory and Critical Care Medicine
Marina Celly Martins Ribeiro de Souza, Maria Imaculada de Fátima Freitas
This was a qualitative study, based on the Social Representations Theory, with professionals that work in primary care, about the risk of HIV infection to which they are exposed in their quotidian work routine. Twelve physicians and nurses who work in two Health Centers in the city of Belo Horizonte, MG, Brazil, were interviewed. The final analysis, carried out using the saturation of information criterion, was based on the method proposed by Structural Analysis of Narrative. The results show that the health professionals interviewed knew the infection risk in their work routine, representing it as very low in primary care, because they relate it to technological complexity which they consider does not exist in the level of assistance in which they work...
July 2010: Revista Latino-americana de Enfermagem
Paul A Teixeira, Peter Gordon, Eli Camhi, Suzanne Bakken
OBJECTIVE: To assess the attitudes of persons living with HIV/AIDS (PLWH) towards having their personal health information (PHI) stored and shared electronically. METHODS: PLWH (n = 93) in New York City completed surveys using audio computer-assisted self-interview (ACASI) that assessed willingness to share their PHI with various people and entities via a secure electronic network. The survey also included questions on satisfaction with and trust of health care providers, current health, HIV-associated stigma, and frequency of internet access...
August 2011: Patient Education and Counseling
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