Models of Access and Clinical Service Delivery

The demographics and clinical [1]Pertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. situation of people with HIV in Australia are changing. We know that the number of people diagnosed with HIV in Australia is increasing, that they are living longer and that as a group they are getting older. In order to maintain high standards of care, there need to be adjustments or transformations in clinical service delivery.

The National Models of Access and Clinical Service Delivery for HIV Positive People Living in Australia (MACSD) project addressed these issues in an inquiry started in July 2008. The project was a collaboration between the Australasian Society for HIV Medicine (ASHM [2]Australasian Society for HIV Medicine. The peak Australasian organisation representing the medical and health sector in HIV/AIDS and related areas. ) and NAPWA, with the Australian Research Centre in Sex Health and Society (ARCSHS [3]Australian Research Centre in Sex, Health and Society, part of La Trobe University in Melbourne. For further information see http://www.latrobe.edu.au/arcshs/ [4].) commissioned to write a report.

In April 2009 the project released the report and several background papers (download using links below).

The report outlines the background to the project's development, considers the demographics of people with HIV and maps clinical HIV services across Australia. It presents the various models of service access and delivery for HIV internationally and in Australia and models of chronic care applied locally and internationally. It describes the Australian health workforce and considers how it currently responds to the needs of people with HIV and the anticipated demands of this population in the future.

The background papers address:

• HIV Populations in Australia
• Existing HIV clinical services and HIV Populations
• International approaches to access and delivery of clinical services for PLHIV [5]Person (or people) Living with HIV. This term is now preferred over the older PLWHA.
• Models of access and clinical service delivery for people with HIV used in Australia
• Models of care for chronic disease Australia's
• Health Workforce: roles, supply, trends, recruitment and capacity to deliver HIV services

Attachment	Size	Type
MACSD - Final Report.pdf [6]	766.1 KB	PDF
MACSD background paper - HIV populations.pdf [7]	349.98 KB	PDF
MACSD background paper - Services.pdf [8]	641.38 KB	PDF
MACSD background paper - International models.pdf [9]	167.01 KB	PDF
MACSD background paper - Australian models.pdf [10]	122.27 KB	PDF
MACSD background paper - Chronic disease.pdf [11]	169.65 KB	PDF
MACSD background paper - Workforce.pdf [12]	1.57 MB	PDF