在路易斯安那州新奥尔良市建立低门槛开放式艾滋病护理诊所以完善艾滋病护理体系.pdf

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1、Creation of a Low-Barrier Open Access HIV Care Clinic to Address the HIV Care Continuum in New Orleans,LouisianaPresenter:Lauren Richey,MD,MPH,Professor of Medicine,Louisiana State University,School of MedicineAdditional Authors:Tat Yau,Eric Babineaux,Paula SealSeptember 15-17,2025BackgroundData sup

2、ports low barrier clinics in other areasDombrowski et al in Seattle described key components of a low-barrier clinic(1):1.the ability to walk in for appointments2.an integrated care team to address social needs,and 3.patient incentives(such as cash,gift cards,food,and clothing)Both Seattle and San F

3、rancisco published positive clinical results with these types of clinics(2)Data in New Orleans and the South is lacking1.Dombrowski JC,Ramchandani MS,Golden MR.Implementation of Low-Barrier Human Immunodeficiency Virus Care:Lessons Learned from the Max Clinic in Seattle.Clin Infect Dis 2023;77(2):25

4、2-7.2.Hickey MD,Imbert E,Glidden DV et al.Viral Suppression during COVID-19 among people with HIV experiencing homelessness in a low-barrier clinic-based program.AIDS 2021;35(3):517-519.September 15-17,2025BackgroundComplex barriers to HIV careInability to Inability to access HIV access HIV carecare

5、Providers:Providers:Lack of availabilityLack of availability Shortage of providersShortage of providers Productivity measures Productivity measures&RVU goals prevent&RVU goals prevent keeping schedules keeping schedules openopen Full and already Full and already overbooked schedulesoverbooked schedu

6、lesSystem/Facility:System/Facility:Lack of schedule Lack of schedule flexibility/availabilityflexibility/availability Not enough people Not enough people answering the phone in answering the phone in real timereal time Lack of funds for Lack of funds for incentivesincentivesPatients:Patients:Lack of