Models of primary health care for people living with HIV

Key take-home messages

• Person-centered features to include in primary care models are strong patient-provider relationships and culturally competent teams. Support roles such as community health workers and peer navigators are critical for enhancing trust and engagement while reducing stigma.
• Patient-centered medical home models use coordinated, team-based care—often including physicians, nurses, pharmacists, and case managers—to integrate medical and psychosocial services and to improve continuity, retention, and clinical outcomes.
• Integrated and co-located care models combine HIV care with non-HIV services (such as those for comorbidities, substance use, hepatitis C, mental health), allowing people living with HIV to access comprehensive, multidisciplinary care in one setting.
• Low-barrier, flexible service models offer drop-in appointments, housing support, transportation, and peer support to reduce access barriers and meet the complex needs of marginalized populations, including those who are experiencing homelessness or unstable housing.

• Epidemiology and Determinants of Health
  • Determinants of Health
• Determinants of Health
  • Housing
  • Social support
  • Health services
  • Stigma/discrimination
  • Other
• Population(s)
  • General HIV+ population
• Prevention, Engagement and Care Cascade
  • Engagement and Care Cascade
• Engagement and Care Cascade
  • Linkage/engagement in care
  • Retention in care
  • Treatment
• Health Systems
  • Financial arrangements
  • Delivery arrangements