Table 2.

Overlap between MDM Model of Care and HIV Clinic Care

		(+)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

^α (+) = present in

^β (−) = absent from

* Although this appeared in the HIV clinic, it was recognizably inconsistent and varied between staff members

** Recently, the work of MDM has recognized that understanding clinicians’ capacity and workload are also essential components of delivering a minimally disruptive care; thus, there is a need to assess and address that