Jeannette R Ickovics1. 1. Yale University School of Public Health, Connecticut, USA. Jeannette.Ickovics@yale.edu
Abstract
BACKGROUND: Bundling is defined as the aggregation of services to increase effectiveness (i.e., creating synergy of effort). The purpose of this commentary is to review the utilization and potential benefits of bundling in its application to HIV prevention. METHODS: Review of the literature to provide a broad perspective on the concept of bundling and specific examples of bundling in HIV prevention. Benefits, challenges and directions are considered. RESULTS: To be effective, bundling must offer strategic advantage: greater value, less cost. It provides an opportunity to target multiple risk behaviors simultaneously for synergistic gain. Technological advances including rapid HIV tests permit noninvasive sampling in clinical and non-clinical settings. Bundling of HIV prevention provides an opportunity to reach high-risk persons who are asymptomatic and/or may not otherwise seek care by eliminating barriers to prevention. CONCLUSIONS: We must implement programs that work and consider innovative approaches to stem the AIDS epidemic; bundling provides one such opportunity to create an efficient paradigm targeting multiple risk behaviors simultaneously.
BACKGROUND: Bundling is defined as the aggregation of services to increase effectiveness (i.e., creating synergy of effort). The purpose of this commentary is to review the utilization and potential benefits of bundling in its application to HIV prevention. METHODS: Review of the literature to provide a broad perspective on the concept of bundling and specific examples of bundling in HIV prevention. Benefits, challenges and directions are considered. RESULTS: To be effective, bundling must offer strategic advantage: greater value, less cost. It provides an opportunity to target multiple risk behaviors simultaneously for synergistic gain. Technological advances including rapid HIV tests permit noninvasive sampling in clinical and non-clinical settings. Bundling of HIV prevention provides an opportunity to reach high-risk persons who are asymptomatic and/or may not otherwise seek care by eliminating barriers to prevention. CONCLUSIONS: We must implement programs that work and consider innovative approaches to stem the AIDS epidemic; bundling provides one such opportunity to create an efficient paradigm targeting multiple risk behaviors simultaneously.
Authors: B Schwartländer; J Stover; N Walker; L Bollinger; J P Gutierrez; W McGreevey; M Opuni; S Forsythe; L Kumaranayake; C Watts; S Bertozzi Journal: Science Date: 2001-06-21 Impact factor: 47.728
Authors: John Stover; Neff Walker; Geoff P Garnett; Joshua A Salomon; Karen A Stanecki; Peter D Ghys; Nicholas C Grassly; Roy M Anderson; Bernhard Schwartländer Journal: Lancet Date: 2002-07-06 Impact factor: 79.321
Authors: Trace S Kershaw; Linda M Niccolai; Jeannette R Ickovics; Jessica B Lewis; Christina S Meade; Kathleen A Ethier Journal: J Adolesc Health Date: 2003-11 Impact factor: 5.012
Authors: Lisa R Metsch; Margaret Pereyra; Carlos del Rio; Lytt Gardner; Wayne A Duffus; Gordon Dickinson; Peter Kerndt; Pamela Anderson-Mahoney; Steffanie A Strathdee; Alan E Greenberg Journal: Am J Public Health Date: 2004-07 Impact factor: 9.308
Authors: Michael P Carey; Kate B Carey; Stephen A Maisto; Christopher M Gordon; Kerstin E E Schroder; Peter A Vanable Journal: J Consult Clin Psychol Date: 2004-04
Authors: Christopher P Salas-Wright; Erik J Nelson; Michael G Vaughn; Jennifer M Reingle Gonzalez; David Córdova Journal: Am J Public Health Date: 2017-04-20 Impact factor: 9.308
Authors: Isabel Martinez; Trace S Kershaw; Danya Keene; Rafael Perez-Escamilla; Jessica B Lewis; Jonathan N Tobin; Jeannette R Ickovics Journal: Ann Behav Med Date: 2018-01-05