Final Resolutions

Domestic Subcommittee Resolution #3:

WHEREAS HIV infection continues to evolve toward a complex, chronic, ambulatory illness for many people, with continued emphasis on reduced mortality, decreased hospital utilization, and long-term viral suppression; and

WHEREAS appropriate expertise and experience in the management of HIV infection lead to better outcomes for people living with HIV disease 1,2; and

WHEREAS there are over 1,000,000 people living with HIV disease in all parts of the United States that are in need of lifelong care; and

WHEREAS there is concern that there exists a workplace shortage and that present medical providers are having difficulty managing their current patient caseload;

WHEREAS this shortage of medical providers is having a significant impact on providing culturally competent service for HIV patients; then

BE IT RESOLVED THAT the Presidential Advisory Council on HIV/AIDS calls on the Secretary of Health and Human Services to sponsor an Institute of Medicine study of the HIV medical workforce. This study will assess the capacity of the HIV medical workforce, including issues surrounding reimbursement, to respond to the needs of persons living with HIV/AIDS on a regional and national basis.

BE IT FURTHER REOLVED THAT the Secretary of Health and Human Service develop interim steps to address areas of known medical workforce shortages.

PASSED

Shapiro M, Morton SC, McCaffrey DF, et al. Variations in the care of HIV-infected adults in the United States: results from the HIV Cost and Services Utilization Study. JAMA. 1999;281:2305-2315.

Kitahata MM, Van Rompaey SE, Shields AW. Physician experience in the care of HIV-infected persons is associated with earlier adoption of new antiretroviral therapy. J Acquir Immune Defic Syndr. 2000;24:106-114