| (+)α HIV Clinic model & (−)β MDM | (+) HIV Clinic model & (+) MDM | (−) HIV Clinic model & (+) MDM | |
---|---|---|---|---|
Workload | Sense-making |  | • Patient education on purposes for medication/adherence to medication | • Tailored sense-making support |
Enrolling/ Planning |  | • Coordinated, team-based care | • Coaching to build patient capacity for self-care | |
Enacting Work | • Adherence stressed in all sessions due to dire consequences of non-adherence | • Coordinated, team-based care • Medication burden recognized and supported | • Person-centered scheduling for all care* | |
Appraisal |  | • Consistent feedback regarding viral load/success of treatment plan |  | |
Capacity | Biography/living life | • Unique focus on mental health/substance abuse • Privacy mechanisms |  | • Support during biographical disruption from illness |
Resources |  | • Advocate for additional services |  | |
Environment | • Professionalism, Trust | • Positive Healthcare Environment • Coordinated, team-based care • Continuity of coordinated care | • Entire team focused on workload/capacity | |
Work | • Team members co-location | • Additional services (such as home health) arranged for high-need cases | • Coaching to build patient capacity for self-care | |
Social |  | • Social support assessed by a social worker • Stigma minimized | • Social support system understood by all clinicians • Social network support offered as part of care (e.g., patient groups, community resources) | |
Other |  | • Attention to clinician workload** • Manageable case load |  |  |