Early Impact of the Patient Protection and Affordable Care Act on People Living With HIV: A Systematic Review.
J Assoc Nurses AIDS Care
; 30(3): 259-269, 2019.
Article
em En
| MEDLINE
| ID: mdl-31021962
ABSTRACT
The US Patient Protection and Affordable Care Act (ACA) was the most influential policy-related change to the care of people living with HIV in decades. We systematically searched and analyzed peer-reviewed, empirical research reporting on ACA-related aspects of HIV care post-ACA full implementation, finding 12 articles that met search criteria. The results revealed largely positive evidence regarding the ACA impact on people living with HIV, particularly on their health care coverage in Medicaid expansion states. More recent reporting included improvement in virologic suppression. However, early evidence has been somewhat fragmented, and important questions concerning the impact of the ACA on HIV care quality, patients, and providers remain unanswered. As the political struggle over the ACA continues, future analyses should use national- and state-level data to examine ACA impact on HIV care quality and patient-centered health outcomes to provide in-depth, holistic understanding of HIV care in the wake of this policy change.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Infecções por HIV
/
Reforma dos Serviços de Saúde
/
Assistência Centrada no Paciente
/
Patient Protection and Affordable Care Act
Tipo de estudo:
Systematic_reviews
Limite:
Adult
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Assoc Nurses AIDS Care
Assunto da revista:
ENFERMAGEM
/
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
2019
Tipo de documento:
Article