HIV Care in The Trenches—Observations from a University Student Health Center in Rural Georgia

Presenter Information

Brian M. DeLoach MD, Georgia Southern UniversityFollow

Abstract

Clinical vignettes will illustrate important successes and failures in HIV prevention and care coordination in university student health center in rural Georgia. Primary objectives: 1) participants will understand the role of the college health center in transition of care; 2) participants practicing in rural areas will be able to identify key linkages to HIV care in their region; 3) participants will have a better understanding of the barriers rural health care providers face when providing HIV care, and will be able to indentify resources to help navigate around those barriers

Proposal Summary

Because of both my primary care private practice experience in rural Georgia, and my experience in coordinating care for persons with HIV in a rural university campus healthcare setting, I have been asked by Dr. Gregory Felzien to share how our student health center coordinates care for our HIV+ patients with our community partners and to share successes/failures/observed barriers. The following information will be shared: -keys we have identified to managing and coordinating care of HIV+ individuals in a rural/semi-rural setting with somewhat limited local resources [Advocacy Tract, Family and Community Tract] -how we are using the patient-centered medical home to engage others in that process (others = the patient/client, care team, other community partners) [Family and Community Tract] -how we are re-engaging and returning to care those clients/patients who have "fallen off the map" and then return to the care environment [Advocacy Tract, Family and Community Tract] -key elements and linkages we have identified to transitioning the care of HIV+ individuals (transitioning to college/university from other care settings, transitioning away from us to the rest of their life-course) [Advocacy Tract, Family and Community Tract] -barriers to HIV care (including PrEP) that we encounter in a rural/semi-rural college/university setting, and what has worked and not worked for us in navigating around those barriers [Advocacy Tract, Prevention and Intervention Tract] -how our Health Education and Promotion department’s role has evolved with regards to HIV prevention and intervention At Dr. Felzien’s request, this program will weighted more towards my observations and experiences and less towards clinical research. I do plan to share some observational data from our center (average number of new diagnoses or HIV+ patients we typically encounter each year or semester; high risk behaviors we are seeing among college students). I plan to illustrate these key points listed above through the use of several clinical vignettes that draw from patients we have encountered in our center.

Relevance And Significance

See above. This program will highlight how our center uses a patient and family-centered approach to coordinate care for persons with HIV, leveraging the partnerships we have created locally and regionally with care management and support resources. Additionally, the program will illustrate how our health education and promotion initiatives have evolved over time.

Session Format

Presentation Session

Keywords

Linkages, Engaging, Re-Engaging, Transitioning, Patient-Centered, Barriers, Navigating, Prevention, Intervention, Education

Location

Auditorium

Publication Type and Release Option

Presentation (Open Access)

Recommended Citation

DeLoach, Brian M. MD, "HIV Care in The Trenches—Observations from a University Student Health Center in Rural Georgia" (2016). 9th Annual Rural HIV Research and Training Conference (2014-2019). 6.
https://digitalcommons.georgiasouthern.edu/ruralhiv/2016/2016/6