Optimizing Expenditures Across the HIV Continuum of Care: Bridging Public Health and Health Care Systems

Year: 2014
Funding: Pre and Post-doctoral Scholar in Public Health Delivery Award (PPS-PHD)
Status: Completed

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This study examines how patients enter, fall out of care, or succeed in managing their HIV disease in the US in what has become known as the cascade or continuum of care. Using mathematical modeling, the key bottlenecks and sites for attrition in the passage of people with HIV infection through the different stages of identification, testing, diagnosis, and treatment are identified.  In addition, the stages of the cascade where intervention is most critical are identified in order to maximize the number of those affected who are in treatment, and to prevent further transmission of the disease.

Research Areas



Gregg Gonsalves, MPhil
Yale University