Shared decision-making (SDM) is considered best practice in health care. Prior studies have explored attitudes and barriers/facilitators to SDM, though few have focused on HIV care. We interviewed 53 patients in HIV primary care clinics in California to understand the factors and situations that may promote or hinder engagement in SDM. This manuscript, published in the Journal of the Association of Nurses in AIDS Care, reports on the findings from these interviews and raises considerations to make when applying SDM in the context of HIV care.
This diagram illustrates the pathways that a low-income person living with HIV and in need of behavioral health services might follow through the healthcare system in California. Based on interviews with key informants and service providers in 2015-2016, the figure highlights how services could be provided according to the individual’s insurance coverage and level of acuity of their behavioral health needs. The information sheet also features the various funding streams that can be used to cover behavioral health services.
Despite a year-long outbreak of invasive meningococcal disease in Southern California primarily affecting gay and bisexual men, less than 27% of men who have sex with men (MSM) in Los Angeles County have been vaccinated for meningitis. The findings, released by the California HIV/AIDS Policy Research Centers collaboration between UCLA, the Los Angeles LGBT Center, and APLA Health – call for more education about the disease and more immunization access points throughout Southern California at venues where gay and bisexual men socialize.
The Essential Health Benefits (EHBs) are 10 categories of health services that insurance plans must cover. This brief report highlights how the Affordable Care Act, specifically in its provision for EHBs, has improved coverage of behavioral health care services for low-income individuals living with HIV in California. The report also describes areas of improvement for service accessibility. We offer recommendations for policy makers to consider at the state and federal levels during this time of health care reform.
This study explored how a sample of California counties previously used the HIV Set-Aside of the SAPT Block Grant, which contributed over $12 million statewide to HIV early intervention services and hepatitis C screening and linkage to care in FY2015. The HIV Set-Aside was discontinued in FY2016 when California’s AIDS cases dropped below the eligibility threshold, and the state was no longer permitted to use SAPT funds towards HIV Set-Aside activities. We recommend revising the eligibility criteria for HIV Set-Aside funding, and suggest other funding mechanisms that could help to support services previously covered by the HIV Set-Aside.
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