The health care industry structure forms one of the basic entities used in the design of working health programs in developing strategies for management in epidemiological settings. This is because it describes the system design, health service provision fundamentals and respective competencies seen in health care. This has an overarching effect on in the development of chronic health care management strategies.
The basic management of HIV and AIDs through chronic care model is a critical strategy that essentially relies upon several factors. It is important to note that majority of these strategies have been borrowed with time from epidemiologic interventions of other illnesses in society due to the integrated of HIV and AIDs management. In order to competently organize some of the critical elements in chronic care mode this would include an analysis of role of community, impact of the health system, perspectives of self management, elements of delivery system design, the importance of decision support and the relevance of clinical information support systems.
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Benefits and Applications of the Chronic Care Model in AIDS & HIV
The Role of Community
The aim of the chronic care model is to enhance the capacity and competencies in the management of AIDS and HIV in the affected society. Research has shown that the nature of AIDS and HIV condition has a general overarching effect on the society with regard to impact it has on delivery of the individuals towards economic and decreasing health status focusing on low immunity levels to diseases. The community offers a critical support to the achievement of potential HIV and AIDs programs relying upon the chronic care model (Katherine & Melvin, 2005).
The Impact of the Health system
In developing a competent chronic model, focusing on the health system with regard to the relative levels of health care delivery is of paramount importance. For instance, a typical health system ordinarily has specific levels under which health care delivery is offered, and this more so applies to the management of HIV and AIDS. In addition, a competent health system is built around organization of health care in order to prioritize the formulation of organizations and services aimed at promoting high quality and safe care (Seaton, 2006). This is essentially beneficial in the development AIDS and HIV management strategies. In a case study to ascertain the effects of chronic care model, 10000 patients belonging to 87 HRSA sponsored HIV clinics for a relative period of 12 months, after 18 months assessment showed that 71% of the sites institutionalizing the changes were effective while a further 31% implemented the model in other programs effectively (Seaton, 2006).
Perspectives of Self management
The concept of self management is primarily centered at the individual level hence forms a focal point in the management of HIV and AIDS. Previous research has shown that enhancing self management strategies has a profound effect on the desired health outcomes associated with HIV and AIDS. In order to competently develop an appealing self management system this would critically involve the introduction of home health care services model. In today's active society, this segment has been rapidly developing, and I consider its benefits for facilitating traditional methods of health care. Ordinarily, self management involves empowering patients to manage their own care and needs.
These are some of the components that reflect the respective roles played by patients in care and treatment through self management support strategies that include goal setting, assessment, action planning, follow up and problem solving elements (Seaton, 2006).
In previous health settings the practice of home testing has been critically used to enhance the concept of self management. According to the American Psychiatric Association, "Home collection testing for HIV provides a method for testing among individuals who may not otherwise seek HIV testing through publicly funded sites or medical providers" (American Psychiatric Association, 2000)
Elements of Delivery System Design
The structural entities of the health care system prescribe the manner in which health care delivery occur and which more often follows a predetermined delivery system design. The effectiveness and interaction of system design fundamentals in the health care system is of paramount importance as it serves to integrate all the relevant components needed in a running AIDS and HIV program (Katherine 7 Melvin, 2005). The fact that the chronic care model relies upon the structure of the health care delivery system, it therefore implies that it largely contributes to the enhancement of the healthcare system with regard to access fundamentals. HIV and AIDS patients are therefore in a position to access better healthcare, which significantly leads to better health outcomes and a healthy lifestyle development.
Importance of Decision Support
Patients form the core of the current HIV and AIDs programs bringing in the need for potential implementation of a harmonious decision support mechanism that would potentially involve all the relevant levels of healthcare (Katherine & Melvin, 2005). The provision of a decision support system is essentially important in the development of a competent program for the management of HIV and AIDS, which is essentially critical in majority of clinical settings where curative services are offered. By nature of HIV and AIDS it is important to provide a support mechanism the runs at interpersonal levels, community, and hospital settings.
Relevance of Clinical information support systems
Taking a critical outlook on the clinical support systems, it is evident that they play a central role especially when looked at from the point of view of hospital systems supporting HIV and AIDS programs. Through analysis of the healthcare information support systems, the health authorities and other stakeholders to design better strategies since they provide information on the relative state and coverage of HIV and AIDS programs (Katherine & Melvin, 2005). I find hospitals as one of the most appealing segments to me. Considering the fact that hospitals provide complete medical care is important to me because I may need to obtain numerous medical services at the same time, such as sickness diagnosis, surgery, or extensive nursing care. In this way, hospitals emerge as the ultimate choice to me, as they offer flexibility and adequate services. The entire structure and organization of hospitals suggest patient-centered initiatives of providing equal, affordable access to patients. This therefore leads to the enhancement of the different groups based on seriousness of illnesses.
The Chronic care model serves to provide better outcomes for HIV and AIDS patients through analysis of role the of the community, impact of the health system, perspectives of self management, elements of delivery system design, the importance of decision support and the relevance of clinical information support systems.
There is enough evidence to show the relative applicability of the model in various critical healthcare settings.
In addition, the model serves to integrate healthcare fundamentals as seen from a community perspective and development of the hospital infrastructural support. The model would therefore lead to the potential enhancement of the healthcare system and its relative support mechanisms, which are essentially needed for the HIV and AIDS patients needing critical care focusing on curative and preventive healthcare potential.
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