Advancing Primary Healthcare for Persons Living with HIV in Canada (LHIV)

Lay Summary 

People living with HIV have traditionally been seen by specialists because the focus of their care has been to prolong their life through complex HIV treatment. With improved treatment, people with HIV are now living longer and developing other chronic conditions associated with aging and specific HIV- and treatment-associated disorders. These multiple chronic conditions need to be managed, but our current system is not equipped to deliver this kind of comprehensive care. We need to shift HIV care into the primary care setting of teams of family doctors and other primary care providers, who are experienced in working with people with multiple chronic conditions, while still linking to needed specialist HIV expertise (i.e. provide integrated care). The goal of our research program is to create an integrated care delivery model for people living with HIV in Canada. We will use data to understand how people with HIV access care, what their healthcare needs are, and what kind of care leads to better outcomes, such as improved access to HIV treatment and chronic disease management. We will change how care is delivered by using innovative strategies to connect family doctors and specialists. We will develop tools for providers to understand what ethical issues affect how people receive care and will test strategies for patients to be involved in managing their own care. Our team brings together partners across 3 provinces (MB, ON, NL) including researchers; front-line providers who work in a variety of primary care and HIV-specific care and medical ethics settings; people with living with HIV; and key policy makers and organizations in order to improve care for this population.

Funding 
Team Grant: Community-Based Primary Healthcare - HIV Comorbidity Research
Industry Sectors 
Health Care and Social Assistance
Start date 
1 Jan 2013
End date 
31 Dec 2018