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Positive Wellness North Island North Island HIV Services Success Supported by Measurement Physician Education Physician Survey 2011 80% 71% 70% 60% 50% 40% 30% 20% 16% 13% 10% 0% I would like to be contacted I would like to attend a to discuss further meeting about this service I am interested in continuing education opportunities in HIV Primary Care Chronic Disease Management Forum Treatment as prevention – Dr Julio Montaner Role of Primary Care practitioner in HIV care – Dr David Forrest • 40 physicians – 1/3 of target • Survey showed over 90% Agreed they had better knowledge of: – HIV / AIDS – ARV indication – Treatment as prevention 92% will change their practice based on what they learned Success Supported by Measurement North Island HIV service implementation 2012 Location of HIV Physician Vancouver Island 18% Vancouver 82% Travel Concerns Identified 25% 1 0% 5% 10% 15% 20% 25% 30% What is your biggest challenge in coordinating your health care? 70.6% 64.7% 52.9% 52.9% 47.1% 29.4% 35.3% 41.2% 0.0% Finances Transportation Attitude of health care providers Scheduling Memory difficulties Worries about confidentiality/fear of reporting Trust No babysitter Other Would you like more time and attention paid to any of the following? 75.0% 68.8% 68.8% 62.5% 56.3% 43.8% 56.3% 50.0% 37.5% 25.0% Explaining pros and cons of treatment General health teaching Teaching about HIV Expla info: Explaining HIV lab results medications, SE of meds, management of SE Taking time Awareness of Breaking Advocacy to explain life situations news gently (someone to and talk and help you challenges access supports) Other Collaboration and Integration • • • • • • • • AIDS Vancouver Island Infectious disease specialist Mental Health and Addictions Epidemiology and Disease Control Public Health Outpatient lab STOP teams in province Ext ext ……….. The First Year Data to date………… • 40 clients to date ( original POF 50) • 14 were previously lost to follow up ,5 of those we have started on ARVs • 7 were new diagnosis – which accounts for 100% of those diagnosed in our region, 4 are on treatment • 2 have moved to Vancouver and we have been able to connect them with a local HIV team The First Year Data to date………… • 10 have been hooked up with mental health or addiction services • 15 have been reviewed by a Public Health Nurse Sustainability? Strengths • Partnerships • PDSA • Data – showing impact of program Weakness • No more capacity • fatigue