The Max Clinic: Medical Care Designed to Engage the Hardest-to-Reach Persons Living with HIV in Seattle and King County, Washington
The Max Clinic: Medical Care Designed to Engage the Hardest-to-Reach Persons Living with HIV in Seattle and King County, Washington
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DOI：
10.1089/apc.2017.0313
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发表时间：
2018-04-01
影响因子：
4.9
通讯作者：
Golden, Matthew R.
中科院分区：
文献类型：
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作者：
Dombrowski, Julia C.;Ramchandani, Meena;Golden, Matthew R.
位于华盛顿西雅图的马克斯诊所旨在吸引那些对艾滋病毒护理有广泛障碍的患者。在这篇文章中，我们描述了诊所的演变和结果的患者在第一个2年。该诊所是一个高强度，低门槛，激励护理模式，包括在性传播疾病诊所的初级保健的步行访问。未能参与护理并以较低强度支持实现病毒抑制的患者由临床医生，病例管理人员和卫生部门Data to Care计划转介。该诊所提供食品券、现金奖励、免费公交车通行证和手机，以及跨机构协调护理的强化病例管理。主要评价结果是达到病毒抑制（HIV RNA）的患者百分比
The Max Clinic in Seattle, Washington is designed to engage patients who have extensive barriers to HIV care. In this article, we describe the clinic's evolution and outcomes of patients enrolled in the first 2 years. The clinic is a high-intensity, low-threshold, incentivized care model that includes walk-in access to primary care in a Sexually Transmitted Disease Clinic. Patients who have failed to engage in care and achieve viral suppression with lower intensity support are referred by clinicians, case managers, and the health department Data to Care program. The clinic offers food vouchers, cash incentives, no-cost bus passes, and cell phones, as well as intensive case management with cross-agency coordinated care. The primary evaluation outcome was the percentage of patients who achieved viral suppression (HIV RNA