Presentation is loading. Please wait.

Presentation is loading. Please wait.

Kathleen Brady, MD; Coleman Terrell; Marlene Matosky, MPH, RN

Published byMerry Simmons Modified over 6 years ago

Similar presentations

Presentation on theme: "Kathleen Brady, MD; Coleman Terrell; Marlene Matosky, MPH, RN"— Presentation transcript:

1 Integrating Prevention in HIV Medical Care: Findings from a Clinicians’ Survey
Kathleen Brady, MD; Coleman Terrell; Marlene Matosky, MPH, RN Philadelphia Department of Public Health

2 Objectives Describe the methodologies for implementing an anonymous web based survey with clinicians Identify clinician factors important to assess when building or enhancing a prevention with positives program Differentiate between clinicians’ responses to determine direction for program planning Philadelphia Department of Public Health APHA 2007

3 Background 40,000 new HIV cases occurring annually in the United States 1,000 – 1,200 new HIV cases annually in Philadelphia July 2003 MMWR: The CDC, HRSA, NIH & IDSA developed recommendations for incorporating HIV prevention into the medical care of people living with HIV disease. Philadelphia Department of Public Health APHA 2007

4 Rationale Goal: Develop an EMA-wide prevention with positives (PWP) strategy 1st Step: Needs Assessment Attitudes about PWP Perception of knowledge, comfort, and effectiveness Structural barriers to providing PWP Philadelphia Department of Public Health APHA 2007

5 Clinician Assumptions
Do not value or wish to perform prevention with positives activities Lack knowledge, comfort, & skills, which may differ for sex & drug behaviors Lack awareness of the prevention available services Lack time, staffing, prevention materials, or other resources Philadelphia Department of Public Health APHA 2007

6 Methods Web-based anonymous survey to 136 clinicians 33 questions
Clinician demographics Clinic and clinician practices Perception of knowledge, comfort, and effectiveness Experience with prevention services Barriers experiences and assistance needed Philadelphia Department of Public Health APHA 2007

7 Survey population # (% of total)
Survey Participants Participants: Part A HIV medical care clinicians Survey population # (% of total) Respondents # (% of total) Physician 47 (35%) 28 (35%) Nurse practitioner 18 (13%) 16 (20%) Physician assistants 16 (12%) 8 (10%) Other 55 (40%) 27 (34%) Total 136 (100%) 79 (100%) Philadelphia Department of Public Health APHA 2007

8 Results: Perceptions of Roles & Attitudes
100% of clinicians believe PWP belongs in HIV medical care 100% of clinicians believe PWP is important and part of their professional role 96% of clinicians screen each patient at least once a year for sex and/or drug-use behaviors Philadelphia Department of Public Health APHA 2007

9 Perception About Skills, Knowledge, & Comfort Level
58% believe they provide an effective intervention Knowledgeable and comfortable discussing risk behaviors Limited effectiveness at motivating change 40% reported limited effectiveness with sex 67% reported limited or no effectiveness with drug-use Philadelphia Department of Public Health APHA 2007

10 Barriers to Discussing Behaviors
Sex: 27% report not enough time during visit to discuss 31% report not a priority because of medical issues Drugs: 23% report patients are unwilling or reluctant to discuss 25% report not enough time during visit to discuss Philadelphia Department of Public Health APHA 2007

11 Clinicians’ Preferred Goals
46% want to be more effective in providing PWP interventions 46% want to refer patients to PWP services 56% want to distribute condoms, bleach kits, and pamphlets 42% want to screen more regularly Philadelphia Department of Public Health APHA 2007

12 Perceptions of Prevention Services
2-4% do not believe services are effective 6-22% do not know where service are located 4-22% believe services are not accessible to their patients Satisfied with support groups (71%), condom distribution (84%), and licensed mental health services (65%) Philadelphia Department of Public Health APHA 2007

13 Clinician Assistance: Materials, Trainings, & Changes
Written materials for patients about drug and sexual risk behaviors 50% Information on Prevention With Positives referral sources 46% Counseling specialists at medical clinic 42% Longer patient appointments 40% Better understanding of the prevention services available Training in risk management strategies for drug-use behaviors 38% Examples of screening tools for high-risk drug-use behaviors Examples of screening tools for high-risk sexual behaviors 33% Written materials for clinicians about drug-use behaviors Written materials for patients about drug and sexual risk behaviors 50% Information on Prevention With Positives referral sources 46% Counseling specialists at medical clinic 42% Longer patient appointments 40% Better understanding of the prevention services available Training in risk management strategies for drug-use behaviors 38% Examples of screening tools for high-risk drug-use behaviors Examples of screening tools for high-risk sexual behaviors 33% Written materials for clinicians about drug-use behaviors Written materials for patients about drug and sexual risk behaviors 50% Information on Prevention With Positives referral sources 46% Counseling specialists at medical clinic 42% Longer patient appointments 40% Better understanding of the prevention services available Training in risk management strategies for drug-use behaviors 38% Examples of screening tools for high-risk drug-use behaviors Examples of screening tools for high-risk sexual behaviors 33% Written materials for clinicians about drug-use behaviors Clinician Assistance: Materials, Trainings, & Changes Written materials for patients about drug and sexual risk behaviors 50% Information on Prevention With Positives referral sources 46% Counseling specialists at medical clinic 42% Longer patient appointments 40% Better understanding of the prevention services available Training in risk management strategies for drug-use behaviors 38% Examples of screening tools for high-risk drug-use behaviors Examples of screening tools for high-risk sexual behaviors 33% Written materials for clinicians about drug-use behaviors Philadelphia Department of Public Health APHA 2007

14 Next Steps Incorporate findings into prevention plan and RFP process
Educate clinicians about existing prevention referral resources Use care system as a recruitment resource for prevention services Further analysis: Differences by demographics Case manager survey Philadelphia Department of Public Health APHA 2007

Download ppt "Kathleen Brady, MD; Coleman Terrell; Marlene Matosky, MPH, RN"

Similar presentations

Www.ifrc.org Saving lives, changing minds. Collaborative TB/HIV services for people who use drugs The experience of Red Cross / Red Crescent Lasha Goguadze.

Saving lives, changing minds. Collaborative TB/HIV services for people who use drugs The experience of Red Cross / Red Crescent Lasha Goguadze.
Clinical Alliances and Partnerships Raul A. Romaguera, DMD, MPH Division of HIV/AIDS Prevention Centers for Disease Control and Prevention March 11, 2004.

Clinical Alliances and Partnerships Raul A. Romaguera, DMD, MPH Division of HIV/AIDS Prevention Centers for Disease Control and Prevention March 11, 2004.
Assessing the Training Needs of Managed Care Providers: Implications for STD Clinical Training Targeting this Hard-to- Reach Group by the Eastern Quadrant.

Assessing the Training Needs of Managed Care Providers: Implications for STD Clinical Training Targeting this Hard-to- Reach Group by the Eastern Quadrant.
Operation H.O.P.E.F.U.L. Sean McIntosh, AS Program Coordinator Faculty, Florida/Caribbean AIDS Education and Training Center.

Operation H.O.P.E.F.U.L. Sean McIntosh, AS Program Coordinator Faculty, Florida/Caribbean AIDS Education and Training Center.
Prevention and Management of Sexually Transmitted Diseases in Persons Living with HIV/AIDS Partner Management.

Prevention and Management of Sexually Transmitted Diseases in Persons Living with HIV/AIDS Partner Management.
Prevention Services Taxonomy. Targeted Prevention  Interventions must be targeted to high-risk groups  HIV Positive Individuals are the number one priority.

Prevention Services Taxonomy. Targeted Prevention  Interventions must be targeted to high-risk groups  HIV Positive Individuals are the number one priority.
1 Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS Medical Director & Principal Investigator September 15, 2011.

1 Partnership for Health Experience at AIDS Care Roberto B Corales, DO, AAHIVS Medical Director & Principal Investigator September 15, 2011.
New Employee Orientation

New Employee Orientation
Clinician Practices in Assessing Risk Behavior in US HIV Clinics Carol Dawson Rose, Grant Colfax, Lisa Metsch, David Mc Kirnan and Cari Courtenay-Quirk.

Clinician Practices in Assessing Risk Behavior in US HIV Clinics Carol Dawson Rose, Grant Colfax, Lisa Metsch, David Mc Kirnan and Cari Courtenay-Quirk.
HIV INTERVENTION FOR PROVIDERS (HIP) Principal Investigators:  Carol Dawson Rose, RN, Ph.D. and Grant Colfax, MD. Co-Investigators:  Cynthia Gomez, Ph.D.,

HIV INTERVENTION FOR PROVIDERS (HIP) Principal Investigators:  Carol Dawson Rose, RN, Ph.D. and Grant Colfax, MD. Co-Investigators:  Cynthia Gomez, Ph.D.,
HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco Health Project for Asian Women (HPAW) Center for AIDS Prevention.

HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco Health Project for Asian Women (HPAW) Center for AIDS Prevention.
Incorporating HIV Prevention into the Medical Care of Persons Living with HIV Ask ∙ Screen ∙ Intervene Developed by: The National Network of STD/HIV Prevention.

Incorporating HIV Prevention into the Medical Care of Persons Living with HIV Ask ∙ Screen ∙ Intervene Developed by: The National Network of STD/HIV Prevention.
From Needs Assessment to Curriculum Development: HIV Intervention Program for Providers 3TC meeting October 17, 2002 Mary Schroeder, MPH (Project Director)

From Needs Assessment to Curriculum Development: HIV Intervention Program for Providers 3TC meeting October 17, 2002 Mary Schroeder, MPH (Project Director)
What Does It Take To Implement HIV Prevention Interventions into Care Settings? Preliminary findings based on a qualitative evaluation of the HRSA/SPNS.

What Does It Take To Implement HIV Prevention Interventions into Care Settings? Preliminary findings based on a qualitative evaluation of the HRSA/SPNS.
SAMHSA Garrett Lee Smith State & Tribal Grant The Ohio Suicide Prevention Foundation The Ohio Department of Mental Health.

SAMHSA Garrett Lee Smith State & Tribal Grant The Ohio Suicide Prevention Foundation The Ohio Department of Mental Health.
TAKING A SEXUAL HISTORY WITH OLDER ADULTS Dorcas Baker, RN, BSN, ACRN, MA Site Director Johns Hopkins AIDS Education and Training Center

TAKING A SEXUAL HISTORY WITH OLDER ADULTS Dorcas Baker, RN, BSN, ACRN, MA Site Director Johns Hopkins AIDS Education and Training Center
STD Testing Protocols, STD Testing, and Discussion of Sexual Behaviors in HIV Clinics in Los Angeles County Melanie M. Taylor MD, MPH Los Angeles County.

STD Testing Protocols, STD Testing, and Discussion of Sexual Behaviors in HIV Clinics in Los Angeles County Melanie M. Taylor MD, MPH Los Angeles County.
Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.
Patient Centered Medical Home What it means for Duffy Health Center Board Presentation September 10 th 2012.

Patient Centered Medical Home What it means for Duffy Health Center Board Presentation September 10 th 2012.
Program Collaboration and Service Integration: An NCHHSTP Green paper Kevin Fenton, M.D., Ph.D., F.F.P.H. Director National Center for HIV/AIDS, Viral.

Program Collaboration and Service Integration: An NCHHSTP Green paper Kevin Fenton, M.D., Ph.D., F.F.P.H. Director National Center for HIV/AIDS, Viral.

Similar presentations

Ads by Google