Study of the impact of medical workforce composition and organization on the care of people with HIV

Effective treatment of chronic conditions requires extensive coordination of a broad range of formal and informal nonmedical services and the involvement of a varied set of primary care physicians, nurses, and medical specialists. Very little is known, however, about how varying ways of organizing and financing care affects the activities of providers and therefore the quality and cost of care provided to the chronically ill. The purpose of this project is to investigate the factors affecting the quality and costs of care for persons with HIV in a large set of varying types of provider arrangements, such as staff model HMOs, group practice, and public clinics. This project will be a supplement to the federally funded HIV Cost and Services Utilization Study, a $15-million study of the treatment provided to a nationally representative sample of HIV-positive patients. The results of this supplemental study will have important implications for public and private policies that set reimbursement arrangements, mandate benefits or practices, and accrediting providers.

Grant Details

Amount Awarded $556,332.00

Awarded on: 10/26/1995

Time frame: 1/1/1996 - 12/31/1999

Grant Number: 26449


Harvard Medical School

25 Shattuck Street
Boston, 02115-6092


Paul D. Cleary
Project Director