Evaluating the Effectiveness of Multimodal Healthcare Delivery Strategies

Relevant Industries: Digital Health (software-enabled healthcare, telemedicine, remote patient monitoring), Clinical Tech (medical devices, diagnostics, therapeutics), and Consumer Wellness (preventive care, fitness, mental health, nutrition, and behavior tracking).

Objective: The U.S. Department of Health and Human Services’ Minority HIV/AIDS Fund and the Health Resources and Services Administration sought to evaluate multimodal healthcare delivery strategies at 12 diverse sites across the United States. This evaluation aimed to measure the impact of these strategies on participant health outcomes, addressing a critical knowledge gap and providing actionable insights for healthcare providers, policymakers, and public health officials.

Methodology: Dr. Lightner and his team conducted a rigorous three-year effectiveness study involving 1,082 participants. The study combined surveys and detailed medical record evaluations. Complex statistical techniques, including Wilcoxon Signed Rank Tests and generalized estimating equation models, were applied to accurately assess outcomes over time, controlling for variability across different healthcare delivery models.

Results: The study demonstrated significant improvements in housing stability, employment status, and healthcare retention across all healthcare delivery models. However, viral suppression rates remained unchanged. Notably, more intensive delivery methods showed superior effectiveness in certain contexts. These findings have been peer-reviewed and published in the esteemed journal, AIDS and Behavior.

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Reference:

Lightner JS, Chesnut S, Cabral HJ, Myers JJ, Brooks RA, Byrne T, Rajabiun S. Advancing Patient Navigation for HIV: Evaluating Models of Care for Housing and Employment. AIDS Behav. 2024 Nov;28(11):3910-3918. doi: 10.1007/s10461-024-04464-2. Epub 2024 Aug 22. PMID: 39172185.

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Cost & Activity Analysis of Patient Navigation Programs