{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:45:56Z","timestamp":1791783956463,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U01PS005239"],"award-info":[{"award-number":["U01PS005239"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      In 2021, the New York City Health Department (NYCHD) became one of the first jurisdictions in the United States to adopt a quality\u2010based financing (QBF) approach to HIV prevention programming, shifting away from the traditional fee\u2010for\u2010service model. NYCHD used a multi\u2010level approach that defined quality through three programme\u2010level implementation strategies (PLS): universal screening; holistic care provision; and sex\u2010positive, \u201crisk\u2010free\u201d HIV prevention conversations. By focusing their QBF programme on implementation strategies in addition to service delivery outcomes, NYCHD held agencies accountable for both\n                      <jats:italic>what<\/jats:italic>\n                      was provided and\n                      <jats:italic>how<\/jats:italic>\n                      services were delivered.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Project PACE is a CDC\u2010funded implementation science (IS) partnership between a public university and the NYCHD designed to document and evaluate their QBF approach. Data collected May 2023\u2013September 2024 include: (1) thematic coding of qualitative interviews with agency staff (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a029); (2)\u00a0quantitative analysis of staff survey data (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a069); and (3) thematic coding of technical assistance meeting minutes\/programme monitoring data (document\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0771). This paper presents an analysis of the impact of the strategy on 19 funded agencies, focusing on implementation outcomes and applying the Consolidated Framework for Implementation Research (CFIR) to examine barriers and facilitators to the implementation process.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The quality\u2010focused implementation strategies were rated as highly acceptable, feasible and appropriate. Agencies reported multiple relative advantages of quality\u2010focused implementation: more holistic care, increased access to services, integration of mental health and sexually transmitted infection testing into HIV prevention, reduced stigma and improved client rapport. Acceptability and feasibility ratings were strongly associated with both adoption and sustainment. Implementation barriers were clustered in the inner setting, individual and innovation CFIR domains, and focused on available resources, innovation recipients and innovation design constructs. The biggest challenges to feasibility were related to constraints in the overall care delivery system, including time pressure, service delivery limitations, restricted resources and competing demands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Analyses indicate that health departments can develop quality\u2010based PLS that are acceptable, appropriate, and feasible for HIV prevention agencies and staff. This research is a case study for academic\u2010practice IS partnership that can identify actionable barriers and facilitators to adoption and sustainment in real time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70194","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:13:36Z","timestamp":1791526416000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation Outcomes and Lessons From a Health\u2010Department\u2010Driven Quality\u2010Based Financing Approach to HIV Prevention Programmes in New York City, United States: A Mixed Methods Analysis"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1644-1076","authenticated-orcid":false,"given":"Sarit A.","family":"Golub","sequence":"first","affiliation":[{"name":"Hunter Alliance for Research and Translation Department of Psychology Hunter College of the City University of New York (CUNY)  New York City New York USA"},{"name":"Einstein\u2010Rockefeller\u2010CUNY Center for AIDS Research Albert Einstein College of Medicine  Bronx New York USA"},{"name":"Department of Psychology Basic and Applied Social Psychology PhD Program Graduate Center of the City University of New York  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel M.","family":"de Roche","sequence":"additional","affiliation":[{"name":"Hunter Alliance for Research and Translation Department of Psychology Hunter College of the City University of New York (CUNY)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lila","family":"Starbuck","sequence":"additional","affiliation":[{"name":"Hunter Alliance for Research and Translation Department of Psychology Hunter College of the City University of New York (CUNY)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5145-3268","authenticated-orcid":false,"given":"Imani K.","family":"Hall","sequence":"additional","affiliation":[{"name":"Hunter Alliance for Research and Translation Department of Psychology Hunter College of the City University of New York (CUNY)  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany C.","family":"Wilbourn","sequence":"additional","affiliation":[{"name":"HIV Research Branch Division of HIV Prevention Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Available from:New York City 2020: Ending the HIV Epidemic: A Plan for America Plan(New York City Department of Health and Mental Hygiene 2020) 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