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Early Impact of the Patient Protection and Affordable Care Act on People Living With HIV

A Systematic Review

Ginossar, Tamar, PhD*; Van Meter, Lindsay, MPH, JD; Ali Shah, Sayyed Fawad, PhD; Bentley, Joshua M., PhD; Weiss, David, PhD; Oetzel, John G., PhD

Journal of the Association of Nurses in AIDS Care: May-June 2019 - Volume 30 - Issue 3 - p 259–269
doi: 10.1097/JNC.0000000000000079
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The US Patient Protection and Affordable Care Act (ACA) was the most influential policy-related change to the care of people living with HIV in decades. We systematically searched and analyzed peer-reviewed, empirical research reporting on ACA-related aspects of HIV care post-ACA full implementation, finding 12 articles that met search criteria. The results revealed largely positive evidence regarding the ACA impact on people living with HIV, particularly on their health care coverage in Medicaid expansion states. More recent reporting included improvement in virologic suppression. However, early evidence has been somewhat fragmented, and important questions concerning the impact of the ACA on HIV care quality, patients, and providers remain unanswered. As the political struggle over the ACA continues, future analyses should use national- and state-level data to examine ACA impact on HIV care quality and patient-centered health outcomes to provide in-depth, holistic understanding of HIV care in the wake of this policy change.

Tamar Ginossar, PhD, is an Associate Professor, Department of Communication and Journalism, University of New Mexico, Albuquerque, New Mexico, USA. Lindsay Van Meter, MPH, JD, is a Lawyer, Albuquerque, New Mexico, USA. Sayyed Fawad Ali Shah, PhD, is an Assistant Professor, Department of Communication, Jacksonville State University, Jacksonville, Alabama, USA. Joshua M. Bentley, PhD, is an Assistant Professor, Department of Strategic Communication, Texas Christian University, Fort Worth, Texas, USA. David Weiss, PhD, is an Associate Professor, Department of Communication and Journalism, University of New Mexico, Albuquerque, New Mexico, USA. John G. Oetzel, PhD, is a Professor, University of Waikato, Hamilton, New Zealand.

Corresponding author: Tamar Ginossar, e-mail: ginossar@unm.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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