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HIV System Navigation: an emerging model to improve HIV care access
Judith B Bradford1, Sharon Coleman, William Cunningham
1The Fenway Institute of Fenway Community Health, Boston, Massachusetts., Center of Public Policy, Virginia Commonwealth University, Richmond, Virginia 23284-3065, USA. jbbradfo@vcu.edu
AIDS Patient Care and Stds
|August 1, 2007
Summary
Patient navigation interventions effectively reduced barriers and improved health outcomes for underserved populations with HIV. This adapted "HIV System Navigation" shows promise for enhancing access to primary medical care.
Area of Science:
- Public Health
- Health Services Research
- HIV Medicine
Background:
- Engaging and retaining underserved populations with HIV in primary medical care remains a challenge.
- Existing research on outreach interventions for this demographic is limited.
- Patient navigation models, successful in cancer care, offer a potential framework for HIV care.
Purpose of the Study:
- To adapt and assess the effectiveness of a patient navigation model for disadvantaged populations living with HIV.
- To examine the impact of navigation-like interventions on reducing barriers to HIV primary medical care.
- To evaluate improvements in health outcomes among participants.
Main Methods:
- Utilized a conceptual framework from the Institute of Medicine's 'Access to Health Care in America' report.
- Intervention adapted from a cancer care patient navigation model.
- Four Health Resources and Services Administration (HRSA)-funded grantees implemented navigation-like interventions over 12 months.
Main Results:
- Observed a reduction in structural barriers to HIV care and improved mediators over the intervention period.
- Demonstrated significant improvements in health outcomes for participants.
- Provider engagement and structural barriers were key factors associated with health outcomes.
Conclusions:
- An adapted navigation approach, termed "HIV System Navigation," shows promise for improving access to HIV primary medical care.
- Further development of "HIV System Navigation" is warranted based on positive study results.
- Navigation interventions can effectively address barriers faced by underserved populations with HIV.
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