WEPE681 - Poster Exhibition
The state of HIV in primary care: a fractured landscape
N. Welch, A. Johnson, B. Hujdich, J. Salazar
HealthHIV, Washington, United States
Background: Primary care providers (PCPs)
are increasingly being called upon to treat patients living with HIV. They
are increasingly seeing, treating, and managing HIV as a chronic disease.
Therefore, primary care providers are critical links to continuity of care and
keeping patients in care.
Methods: HealthHIV's 2nd Annual State of HIV in Primary Care survey
was implemented to identify trends in the provision of HIV care among PCPs and HIV Specialists. The
national survey was conducted online with respondents recruited through
targeted invitations between July and October 2011. HealthHIV and Medscape fielded the
45-question instrument in Survey Monkey?. Qualitative analysis was conducted in
order to code and develop themes of participants' views of the current state of
HIV in Primary Care.
Results: The survey obtained 1,806
US-based respondents to the survey. The survey asked participants their views
on the current state of HIV in primary care. HIV Specialists by far described
the current state of HIV in primary care as “excellent” and "good"
overall. HIV PCPs stated that that although the state of HIV primary care
is getting better, the current state is overall challenged by many factors
including level of funding, barriers to access, and fragmentation across the
health care system. Responses from primary care providers that do not
provide HIV care were contradictory suggesting a chaotic and perplexing view of
the state of HIV primary care.
Conclusions: Providers cited facts and
other details demonstrating their current involvement and complex understanding
of the political and environmental factors affecting the HIV primary care
landscape. Others shared little or no additional information possibly
demonstrating a lack of information or knowledge. This demonstrates a need
to close the gap among HIV care providers to provide a united healthcare front
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