2014
DOI: 10.1002/pam.21797
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Policy Modeling to Support Administrative Decisionmaking on the New York State Hiv Testing Law

Abstract: A recent New York law requires medical providers to offer HIV tests as part of routine care. We developed a system dynamics simulation model of the HIV testing and care system to help administrators understand the law's potential epidemic impact, resource needs, strategies to improve implementation, and appropriate outcome indicators for future policy evaluations once postlaw data become available. Policy modeling allowed us to synthesize information from numerous sources including quantitative administrative … Show more

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Cited by 15 publications
(21 citation statements)
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“…Behavioral and social scientists have studied patients’ willingness to receive treatment or comply with medical procedures, such as social-medical studies of mental illnesses in which factors such as friends and families’ behavior and social stigma are argued to influence medical treatments [ 6 , 7 ]. Moreover, economic, management, or political science studies of health systems inform many health policy decisions (e.g., [ 8 10 ]), and these studies can contribute to higher quality of health services and social wellbeing. Effective treatments and public health advancements also come from the integration of biomedical and behavioral sciences.…”
Section: Introductionmentioning
confidence: 99%
“…Behavioral and social scientists have studied patients’ willingness to receive treatment or comply with medical procedures, such as social-medical studies of mental illnesses in which factors such as friends and families’ behavior and social stigma are argued to influence medical treatments [ 6 , 7 ]. Moreover, economic, management, or political science studies of health systems inform many health policy decisions (e.g., [ 8 10 ]), and these studies can contribute to higher quality of health services and social wellbeing. Effective treatments and public health advancements also come from the integration of biomedical and behavioral sciences.…”
Section: Introductionmentioning
confidence: 99%
“…We adapted a previous dynamic model of New York State's HIV testing law 30,31 to reflect updates to the HIV surveillance system; distinguish intermittent and durable viral load suppression; separate all-cause mortality among diagnosed and undiagnosed persons, consistent with surveillance data; and stratify MSM and non-MSM populations.…”
Section: Model Structurementioning
confidence: 99%
“…We estimated stock-specific HIV transmission rates by using methods from a previous New York State HIV testing law model. 30,31 General published findings, such as higher transmission rates among persons who are unaware of their HIV infection compared with persons who are diagnosed with HIV infection and no sexual transmission from persons who are virally suppressed, estimated the relative contribution of HIV infections from persons in each category. We calculated stock-specific transmission rates from the relative contribution of HIV infections and the 2011 population in each stock (initial conditions).…”
Section: Model Structurementioning
confidence: 99%
“…Performance-based payment [144] impacts of performance-based payment system on the behaviours of public hospitals and their physicians HIV testing law [145] HIV testing and care system to help administrators Climate negotiations [146] evaluations of the impact of world climate with diverse group…”
Section: Topics and Goods Models And Issues Dealtmentioning
confidence: 99%