Better Service by Doing Less: Introducing De-implementation Research in HIV

Curr HIV/AIDS Rep. 2020 Oct;17(5):431-437. doi: 10.1007/s11904-020-00517-y.

Abstract

The course of HIV research has led to a multitude of interventions to prevent and treat HIV. With the arrival of more effective interventions comes the need to end, or de-implement, less effective interventions. PURPOSE OF REVIEW: To describe the state of de-implementation research in HIV and provide a rationale for expanded research in this area. RECENT FINDINGS: Existing studies have identified a set of HIV-specific interventions appropriate for de-implementing and described the persistence of interventions that should be ended. However, to our knowledge, strategies to successfully promote appropriate de-implementation of HIV-specific interventions have not been examined. De-implementing interventions that are no longer needed is an opportunity to improve the quality and effectiveness of HIV services. Opportunities to expand this field of research abound.

Keywords: De-adoption; De-implementation; HIV; Medical overuse; Public health.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Biomedical Research / methods*
  • HIV Infections / prevention & control*
  • HIV Infections / therapy*
  • Health Care Reform / methods*
  • Humans