The PPACA directly impacts the role of social workers, especially those working in HIV care settings. The fluctuating landscape of medical, mental health, and supportive services as a result of the PPACA calls for social workers to be actively engaged in the enhancement of human well-being, to provide access to basic resources, and to ensure that the vulnerable, oppressed, and impoverished are included in an environment in which they feel empowered to achieve self-efficacy.
HIV-infected persons in the U.S. are increasingly overweight and obese with rates of weight excess similar to the general population. Weight excess in the HIV-infected population is often associated with other medical conditions such as hypertension and high cholesterol, and clinicians should consider including weight management programs as part of routine HIV care.¹ Josephine DiLena is a Registered Dietitian practicing at the François-Xavier Bagnoud (FXB) Center Clinic at The University Hospital in Newark, New Jersey. For seven years she has been caring for HIV-infected men, women and children, offering them nutritional guidance to enhance antiretroviral treatment (ART) and other therapies. Over the years, she has witnessed the changes in weight loss and gain among ART users, so we asked her to share what she believes to be most important for HIV providers to keep in mind when discussing nutrition with their patients.
An increasingly diverse population continues to challenge the American health care system as it struggles to deliver quality health care to all. One consequence of this is increased health disparities and inequities, particularly within racial and ethnic minority communities.
In November of 2011, The François-Xavier Bagnoud Center of the School of Nursing at The University of Medicine and Dentistry of New Jersey, (FXBC/UMDNJ) was awarded a cooperative agreement from the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau (HAB) to develop a national training and technical assistance resource center to assist Ryan White HIV/AIDS Program grantees in understanding, developing and successfully applying to become recognized patient centered medical homes (PCMH).
They partnered with the University of San Francisco, Department of Family and Community Medicine, Center for Excellence in Primary Care (UCSF/CEPC) to form the HIV Medical Homes Resource Center (HIV-MHRC). We asked Co-Principal Investigators Andrea Norberg, MS, RN and Carolyn Burr, EdD, RN, and Program Manager Denise Anderson-Carr, MPH, RD, to tell us a little more about their progress, vision and next steps for the HIV-MHRC in year two.
What are some ways to get MSM into medical care? This is a frequently asked question and one with a very complicated answer. Researchers, community advocates, and medical providers have made serious inroads into identifying and understanding the barriers to accessing medical care for MSM. One key barrier that is often noted anecdotally and in literature relates to providing culturally competent care.
How can mapping the HIV epidemic help healthcare providers talk to patients about getting tested?
An estimated one in five individuals living with HIV in the United States don’t know they are infected, according to the Centers for Disease Control and Prevention (CDC). CDC recommends routine HIV screening among persons aged 13-64, but many individuals, due to the lingering stigma around the disease, are hesitant to talk about HIV with their doctors or to ask to be tested. Healthcare providers often do not test patients because they perceive that the patients do not fit a risk profile or because the providers are not comfortable assessing and discussing HIV risk behaviors.