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Improving Care Outcomes for PLWH Experiencing Homelessness and Unstable Housing: a Synthetic Review of Clinic-Based Strategies.
Current HIV/AIDS Reports ( IF 3.7 ) Pub Date : 2020-05-07 , DOI: 10.1007/s11904-020-00488-0
A Asa Clemenzi-Allen 1, 2 , Matt Hickey 1 , Madellena Conte 3 , Doyel Das 4 , Elvin Geng 5 , Elise Riley 1 , Diane Havlir 1 , Monica Gandhi 1 , Elizabeth Imbert 1
Affiliation  

PURPOSE OF REVIEW Singular interventions targeting vulnerable populations of people living with HIV (PLWH) are necessary for reducing new infections and optimizing individual-level outcomes, but extant literature for PLWH who experience homelessness and unstable housing (HUH) has not been compiled. To inform implementation of clinic-based programs that improve care outcomes in this population, we present a synthetic review of key studies examining clinic-based interventions, specifically case management, patient navigation, financial incentives, and the use of mobile technology. RECENT FINDINGS Results from unimodal interventions are mixed or descriptive, are limited by inability to address related multi-modal barriers to care, and do not address major challenges to implementation. Multi-component interventions are needed, but gaps in our knowledge base may limit widespread uptake of such interventions before further data are compiled. Future research evaluating interventions for PLWH experiencing HUH should include implementation outcomes in order to facilitate adaptation across diverse clinical settings.

中文翻译:

改善无家可归和住房不稳定的 PLWH 的护理结果:基于诊所的策略的综合审查。

审查目的 针对艾滋病病毒感染者 (PLWH) 弱势群体的单一干预措施对于减少新感染和优化个人层面的结果是必要的,但尚未汇编关于经历无家可归和住房不稳定 (HUH) 的艾滋病病毒感染者和艾滋病毒感染者的现有文献。为了告知实施基于诊所的计划以改善这一人群的护理结果,我们对检查基于诊所的干预措施的关键研究进行了综合审查,特别是病例管理、患者导航、经济激励和移动技术的使用。最近的发现 单模式干预的结果是混合的或描述性的,由于无法解决相关的多模式护理障碍而受到限制,并且没有解决实施方面的主要挑战。需要多方面的干预,但是,在收集更多数据之前,我们知识库中的差距可能会限制此类干预措施的广泛采用。未来研究评估对经历 HUH 的 PLWH 的干预措施应包括实施结果,以促进适应不同的临床环境。
更新日期:2020-05-07
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