Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences
- *Corresponding Author:
- Quen J Cheng
Department of Medicine
David Geffen School of Medicine at UCLA, USA
E-mail: [email protected]
Received date: 05 August 2014; Accepted date: 24 October 2014; Published date: 27 October 2014
Citation: Cheng CJ, Engelage EM, Grogan TR, Currier JS, Hoffman RM (2014) Who Provides Primary Care? An Assessment of HIV Patient and Provider Practices and Preferences. J AIDS Clin Res 5: 366. doi:10.4172/2155-6113.1000366
Copyright: © 2014 Cheng QJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Non-AIDS co-morbidities are emerging as the main health problems for those living with HIV, and primary care for this population is an evolving challenge. Recent studies have raised the question of whether specialists or generalists are best suited to provide HIV primary care, but patients’ actual usage patterns and the preferences of patients and providers have not been well studied. Methods: We anonymously surveyed 98 patients and eight HIV-specialized providers regarding primary care usage patterns and preferences at an academic HIV clinic in Los Angeles that serves insured patients. Results: Fifty-nine percent of patients use their HIV physician as their primary care provider, and 84% would prefer this model. Physicians were divided on their preferred role, with five out of eight desiring to provide both primary care and HIV care. All eight physicians rated their comfort with antiretroviral therapy and opportunistic infections greater than for non-AIDS co-morbidities. Eighty-one percent of patients and seven of eight providers were supportive of having a co-located primary care physician at the HIV clinic. Conclusions: We conclude that patients prefer integration of HIV and primary care, but providers have variable desire to serve as primary care physicians and may be uncomfortable with non-AIDS co-morbidities. This raises the need for improved patient-provider communication about primary care needs, and calls for novel ways of systematically providing primary care to HIV-infected patients.