Chinazo Cunningham

..A brief literature review of mastitis from atypical mycobacteria is presented, along with the first reported case of localized MAC infection of the nonaugmented breast in an HIV-infected woman taking highly active antiretroviral therapy...

..38; 95% CI = 1.05, 1.80; same-day appointments: AOR = 1.70; 95% CI = 1.03, 2.81). These findings demonstrate the importance of program-related characteristics in health services delivery to marginalized populations...

..Further refinement and expansion of strategies to improve outcomes of HIV-infected drug users is warranted...

..It is important to understand how various testing strategies may affect HIV testing rates. In addition, further exploration of patients' reasons for declining HIV testing in these settings is warranted...

..6% initiated treatment. The number of inquiries increased gradually over time, and most came from local community residents (80.4%). These results may allay health center concerns, and can help planning for buprenorphine treatment...

..Physicians may question their ability to successfully treat opioid-dependent patients with buprenorphine in a primary care setting. We describe a buprenorphine treatment program and treatment outcomes in an urban community health center...

..We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization...

..Buprenorphine enables physicians to simultaneously treat HIV and opioid dependence, offering opportunities to improve health outcomes. Despite this, few physicians prescribe buprenorphine...

..These findings support HIV multidisciplinary care with marginalized populations. Understanding factors associated with health care utilization is essential for outreach programs to facilitate engagement in HIV care...

..Studies are needed to understand how trust in providers and the health care system is achieved and maintained, and how trust is correlated with HIV-related health outcomes...

..It is essential that new induction strategies be based on existing models or theories and be well studied...

..9, p = 0.003). A medical outreach program targeting unstably housed HIV-infected individuals was associated with increased use of regular medical care and improved perceived quality of care...

..Agreement between a subject's self-reports and medical records in marginalized populations is uncertain, yet important to understand, as this population is disproportionately affected by HIV...

..Physicians can now prescribe buprenorphine for opioid dependency in the primary care setting. This study assessed primary care providers' attitudes and beliefs about opioid addiction treatment with buprenorphine...

..It is important that clinicians and researchers working with substance-using populations understand how specific types of substance use differentially impact on health care...

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..CitiWideHR) and the Montefiore Medical Center. It focuses specifically on the sources of philosophical differences between models, and briefly assesses the potential for successful collaborations of this sort...

..Development of intervention strategies that specifically target severely disadvantaged women's HIV health care utilization is in great need...

..These data provide important insight into physician concerns about buprenorphine and have implications for practice, education, and policy change that may effectively support widespread adoption of buprenorphine...

..We conclude that health care utilization is poorer for people who use illicit drugs than those who do not, and stopping drug use may facilitate improvements in health care utilization and HIV outcomes for this population...

..Findings from this study and further investigation of patient characteristics and treatment characteristics associated with complicated inductions can help guide buprenorphine treatment strategies...

..Using vignettes, we sought to identify HIV provider characteristics associated with endorsing buprenorphine treatment in primary care...

..This program addresses disparities and needs of a particularly marginalized population: unstably housed substance users with HIV infection...

..These patterns of high levels of access to and utilization of health care services contradict clinical experiences and other studies, and require further exploration...

..15-16.64). Self-management of injection-related wounds is common and certain behaviors may increase the potential for harm. Further research is needed to best focus efforts to improve wound care for injecting drug users...

..NPs and PAs are interested in prescribing buprenorphine. To improve uptake of buprenorphine in HIV settings, the implications of permitting nonphysician providers to prescribe buprenorphine should be further explored...

..g., CD4 counts), or incorporation of rigorous measures to increase reliability of self-report data may be needed. Limitations of this study include the lack of a true gold standard with which to compare self-report data...

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..Interventions to engage people in HIV medical care need to address barriers to care through linkages with mental health, substance abuse treatment and support services, and address the health beliefs that deter people from seeking care...

..However, these hard-to-reach groups are important to study because they may be in greatest need of services...

..Interventions to engage and retain underserved populations living with HIV in medical care are essential to ensure access to medical care and to reduce disparities in health outcomes...