Care Coordination

2017 ◽  
Author(s):  
Joy H. Kang ◽  
Peter A. Selwyn
Keyword(s):  
Chronic Disease Management ◽  
Interdisciplinary Team ◽  
Hiv Care ◽  
Team Approach ◽  
Service Needs ◽  
Coordination Of Care ◽  
Successful Management ◽  
Team Members ◽  
Hiv Continuum Of Care ◽  
Multiple Health

Patients infected with HIV are now living longer, and there is a growing prevalence of HIV-related and/or non-HIV-related comorbidities, often with an increasing need for chronic disease management beyond the treatment of HIV infection. The barriers to each of the steps in the HIV continuum of care need to be identified, anticipated, and addressed. Comprehensive HIV care requires the coordination of many providers. Successful management of referrals, communication between team members, and the challenges of an aging HIV-infected population are reviewed. The interdisciplinary team approach is essential to effective coordination of care for patients with multiple health and service needs.

scholarly journals Whose Job Is It? Addressing the Overlap of Speech-Language Pathologists and Occupational Therapists When Caring for People With Dementia

2021 ◽  
pp. 1-4
Author(s):  
Jordan Meyer ◽  
Paula Leslie ◽  
Angela Ciccia ◽  
Juleen Rodakowski
Keyword(s):  
Communication Skills ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Interdisciplinary Team ◽  
Effective Communication ◽  
Team Approach ◽  
Speech Language Pathologists ◽  
Potential Conflict ◽  
Team Members ◽  
People With Dementia

Purpose This article discusses the complexities of caring for individuals with dementia with an interdisciplinary team approach. The overlap and potential conflict between speech-language pathologists (SLPs) and occupational therapists (OTs) are addressed. SLPs and OTs have potentially similar roles when caring for people with dementia, so it can be difficult to decipher whose job it is to implement similar therapy techniques. However, there are ways health care professionals can prepare themselves to work collaboratively and potentially avoid conflict among team members, such as overstepping their professional boundaries and scopes of practice. This article discusses three beneficial techniques for interprofessional collaboration: acquiring sufficient knowledge about the scopes of practice of both SLPs and OTs, developing effective communication skills, and identifying the intentions of each therapeutic technique. Conclusions There is no straightforward or universal answer to the question “Whose job is it?” when considering SLPs and OTs in caring for people with dementia. Deciding whether an SLP or an OT should implement certain aspects of therapy depends on the roles of each professional and how they can benefit the patient. Interdisciplinary team members must work together to identify how their roles interact and overlap. SLPs and OTs must have a solid knowledge base about each other's scopes of practice, develop effective communication skills, and be able to identify the intentions of their therapy. Developing these skills allows SLPs and OTs to work harmoniously in interprofessional teams.

HIV Care Coordination

2019 ◽  
pp. 175-182
Author(s):  
Sally Spencer Long ◽  
Daniel J. Skiest
Keyword(s):  
Patient Care ◽  
Care Coordination ◽  
Interdisciplinary Team ◽  
Hiv Care ◽  
Team Approach ◽  
Optimal Management ◽  
Interdisciplinary Care ◽  
Knowledge And Practice

Upon completion of this chapter, the reader should be able to • Demonstrate knowledge and practice of interdisciplinary care coordination in HIV patient care. Describe the importance of an interdisciplinary team approach to the optimal management of the patient with HIV.

Support Service Decision Making for Students with Multiple Service Needs: Evaluative Data

1996 ◽  
Vol 21 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Michael F. Giangreco ◽  
Susan W. Edelman ◽  
Tracy E. Luiselli ◽  
Stephanie Z. C. MacFarland
Keyword(s):  
Decision Making ◽  
General Education ◽  
Support Services ◽  
Support Service ◽  
Team Approach ◽  
Service Needs ◽  
Team Members ◽  
Self Study ◽  
Quasi Experimental ◽  
Related Service

This quasi-experimental (pretest/posttest) study explored the use of (Vermont Interdependent Services Team Approach) (VISTA) with 11 educational teams serving students with multiple disabilities. Information about VISTA, a process to facilitate consensus decision making about support services (i.e., type, mode, frequency), was obtained by 75 team members through self-study. Following self-study the teams used VISTA to make support service decisions for students with multiple service needs. The findings of this study provide data regarding: (a) changes in team and individual decision making as a result of using VISTA, (b) the extent to which team members perceived that VISTA did what it purported to do (e.g., increase parental and general education involvement, decrease gaps, overlaps, and contradictions), and (c) changes in the teams' level agreement about which support services students need. Implications for future related service decision making are discussed.

Attitudes of Interdisciplinary Team Members Toward Speech-Language Services in Public Schools

1986 ◽  
Vol 17 (3) ◽  
pp. 230-240 ◽  
Author(s):  
Lou Tomes ◽  
Dixie D. Sanger
Keyword(s):  
Public Schools ◽  
School Psychologists ◽  
Elementary School Principals ◽  
Team Member ◽  
Interdisciplinary Team ◽  
Survey Study ◽  
Language Programs ◽  
Team Members ◽  
Positive Attitudes ◽  
State Area

A survey study examined the attitudes of interdisciplinary team members toward public school speech-language programs. Perceptions of clinicians' communication skills and of the clarity of team member roles were also explored. Relationships between educators' attitudes toward our services and various variables relating to professional interactions were investigated. A 64-item questionnaire was completed by 346 randomly selected respondents from a two-state area. Classroom teachers of grades kindergarten through 3, teachers of grades 4 through 6, elementary school principals, school psychologists, and learning disabilities teachers comprised five professional categories which were sampled randomly. Analysis of the results revealed that educators generally had positive attitudes toward our services; however, there was some confusion regarding team member roles and clinicians' ability to provide management suggestions. Implications for school clinicians were discussed.

Shifting the Paradigm in HIV Prevention and Treatment Service Delivery Toward Differentiated Care for Youth

2019 ◽  
Author(s):  
Vincent Guilamo-Ramos ◽  
Marco Thimm-Kaiser ◽  
Adam Benzekri ◽  
Donna Futterman
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Service Delivery ◽  
The United States ◽  
Hiv Care ◽  
Health Concern ◽  
Service Needs ◽  
Minority Adolescents ◽  
Prevention And Treatment ◽  
Differentiated Care

Despite significant progress in the fight against HIV/AIDS in the United States, HIV prevention and treatment disparities among key populations remain a national public health concern. While new HIV diagnoses are increasing among people under age 30—in particular among racial, ethnic, and sexual minority adolescents and young adults (AYA)—dominant prevention and treatment paradigms too often inadequately consider the unique HIV service needs of AYA. To address this gap, we characterize persistent and largely overlooked AYA disparities across the HIV prevention and treatment continuum, identify AYA-specific limitations in extant resources for improving HIV service delivery in the United States, and propose a novel AYA-centered differentiated care framework adapted to the unique ecological and developmental factors shaping engagement, adherence, and retention in HIV services among AYA. Shifting the paradigm for AYA to differentiated HIV care is a promising approach that warrants implementation and evaluation as part of reinforced national efforts to end the HIV epidemic in the United States by 2030.

scholarly journals The Utilisation of Payment Models Across the HIV Continuum of Care: Systematic Review of Evidence

2021 ◽  
Author(s):  
Tiago Rua ◽  
Daniela Brandão ◽  
Vanessa Nicolau ◽  
Ana Escoval
Keyword(s):  
Positive Impact ◽  
Cost Effective ◽  
Relative Magnitude ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Hiv Continuum Of Care ◽  
Clinical Conditions ◽  
Study Designs ◽  
Living With Hiv ◽  
Payment Models

AbstractThe increasing chronicity and multimorbidities associated with people living with HIV have posed important challenges to health systems across the world. In this context, payment models hold the potential to improve care across a spectrum of clinical conditions. This study aims to systematically review the evidence of HIV performance-based payments models. Literature searches were conducted in March 2020 using multiple databases and manual searches of relevant papers. Papers were limited to any study design that considers the real-world utilisation of performance-based payment models applied to the HIV domain. A total of 23 full-text papers were included. Due to the heterogeneity of study designs, the multiple types of interventions and its implementation across distinct areas of HIV care, direct comparisons between studies were deemed unsuitable. Most evidence focused on healthcare users (83%), seeking to directly affect patients' behaviour based on principles of behavioural economics. Despite the variability between interventions, the implementation of performance-based payment models led to either a neutral or positive impact throughout the HIV care continuum. Moreover, this improvement was likely to be cost-effective or, at least, did not compromise the healthcare system’s financial sustainability. However, more research is needed to assess the durability of incentives and its appropriate relative magnitude.

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