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APHA 1996 Abstract: Incorporation of an HIV Service Delivery System
for Women into the Goals of a Medical School
Presented at: American Public Health Association 124th Annual Meeting, November 1996
Incorporation of an HIV Service Delivery System for Women into the
Goals of a Medical School
L. M. Mundy, K. Meredith, J. Delaney, M. Horgan, V. J.
Fraser. A comprehensive care program for HIV-infected women was implemented in 1994-95
through two HRSA-sponsored grants. Two specific goals included integration of a
multidisciplinary clinic team (physicians, nurses, social worker, nutritionist and case
worker) with health care providers from the community, and integration of medical care
with AIDS Service Organizations and Ryan White funding. During implementation, two issues
requiring concerted decision analysis arose. One involved coordinating staff member
responsibilities for clinical service and research at both national and local levels. A
four pronged model of overall project goals was made, allowing staff to identify
individual and overlapping responsibilities and more effectively work together. As part of
the second issue, the HIV service delivery system has nationally-identified consumer,
provider, and system-level goals. To incorporate these goals into the traditional triad of
academic excellence, consumer goals were matched to excellence in patient care, provider
goals to excellence in medical education, and the system-level goals into those of
excellence in research. Reflection: Innovative measures to provide comprehensive health
care are needed as delivery systems continue to evolve. The service delivery system can
now serve as a model of comprehensive, longitudinal care at our university hospital. In
university settings, academic goals can incorporate integrated health care, narrowing the
gap between public health and medical care, and bridging public health and medical
education.
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