학술논문

"I don't have to do this all by myself": Systems Navigation to Ensure Continuity of HIV Care for Persons Leaving Prison.
Document Type
article
Source
AIDS and behavior. 23(Suppl 1)
Subject
Humans
HIV Infections
Prisons
Social Support
Adult
Middle Aged
Prisoners
Health Services Research
Continuity of Patient Care
Delivery of Health Care
United States
Female
Male
Patient Navigation
HIV
HIV care continuum
Incarceration
Navigation
Qualitative research
Prevention
Health Services
HIV/AIDS
Infectious Diseases
Rehabilitation
Clinical Research
8.1 Organisation and delivery of services
Health and social care services research
Infection
Good Health and Well Being
Public Health and Health Services
Social Work
Public Health
Language
Abstract
Ensuring continuity of and retention in care after release from prison is critical for optimizing health outcomes among people living with HIV. As part of a large federal initiative, we conducted qualitative interviews (n = 24) with individuals living with HIV and recently released from prison in four states to understand their experiences in different navigation interventions to improve access to HIV care post-release. Interventions were delivered only in prison, only in the community, or in both settings. While the interventions varied by design, overall, participants appreciated the breadth of support received from interventionists, including health system navigation, case management and social support. Even when individuals leaving prison were returning to clinics that they were familiar with, systems navigation supported continuity of care. Our findings elucidate why navigational support was instrumental, and underscore the value of a variety of types of navigation programs in facilitating continuity of care and reintegration post-prison.