Skip to main content

Advertisement

Cadillac care for the poor... addressing local health emergency around STDs and HIV in an urban community-based medical home

Article metrics

Background

NHSC, an urban community-based health center in Plainfield, Union County, NJ, USA, provides services to 25,000 uninsured/minority/impoverished patients. Plainfield consistently ranks first and second among the 29 Union County municipalities for Syphilis, Gonorrhea and Chlamydia. Plainfield ranks second for the numbers of HIV/AIDS. There is, therefore, a dire need to address the existing health emergency around STDs and its correlation with HIV.

Methods

NHSC incorporates a coordinated, proactive, patient-centered approach to integrating STD screening/prevention with primary care in a medical home environment. Risk assessments/screenings are done by clinicians. Those identified suspicious for STD or with STD symptoms/diagnosis receive on-the-spot HIV counseling and Rapid testing. Patients receive immediate treatment intervention for suspected STDs. There are on-going prevention efforts including development of Risk Reduction Plans agreed upon/signed by patients.

Results

Resulting from the integrated STD/HIV prevention approach: 100% of patients presenting with symptoms/suspicion for STDs received HIV counseling/Rapid testing; 100% received prevention education and free condoms; 100% had Risk Reduction Plans developed and agreed upon; 19 persons were identified STD and HIV positive and were immediately linked to care.

Conclusions

Integration of STD/HIV prevention with outpatient care under the umbrella of Early Intervention Services allowed to: identify extend of STD/HIV correlation; allow for a seamless one-stop shop prevention-treatment service delivery model; improve patient awareness of on-site prevention/treatment resources.

Author information

Correspondence to Larisa Kudryashova-Hernandez.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Keywords

  • Syphilis
  • Outpatient Care
  • Rapid Testing
  • Medical Home
  • Delivery Model