The changing pattern of hospital care for persons living with HIV - 2000 through 2004
The changing pattern of hospital care for persons living with HIV - 2000 through 2004
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DOI：
10.1097/qai.0b013e3180517407
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发表时间：
2007-06-01
影响因子：
3.6
通讯作者：
Hellinger, Fred J.
中科院分区：
文献类型：
--
作者：
Hellinger, Fred J.
目的：比较2000年和2004年艾滋病毒感染者住院治疗利用率和费用。数据来源：代表6个州所有HIV相关入院的91，343份出院摘要的数据（加州、佛罗里达、新泽西、纽约、南卡罗来纳州和华盛顿州）2000年的数据和72个州的数据，829医院出院摘要代表所有艾滋病毒相关的入院在同一个国家在2004年使用。这些数据来自美国卫生保健研究和质量局的医疗保健成本和利用项目，并与来自美国疾病控制和预防中心和2个州卫生部门的艾滋病毒感染者人数数据相结合。研究设计：这项研究比较了2000日历年6个州艾滋病毒感染者接受的医院护理和2004日历年艾滋病毒感染者接受的医院护理，6个州。这项研究还比较了基于人口的措施医院利用率（即，以衡量平均利用医院护理每个人的艾滋病毒感染者在每个国家）在6个states.Results：这项研究发现，平均年龄的艾滋病毒住院患者从41岁上升到44岁，平均诊断数从6.0上升到7.4。此外，它被发现，每个人的艾滋病毒感染者的平均入院人数下降了39%，女性和黑人艾滋病患者的百分比保持不变。结论：艾滋病病毒感染者住院的患者越来越老，病情加重，虽然每个人的平均入院人数艾滋病病毒感染者继续下降。
Objective: To compare inpatient utilization and costs by persons living with HIV in 2000 with inpatient utilization and costs in 2004.Data Sources: Data on 91,343 hospital discharge abstracts representing all HIV-related admissions in 6 states (California, Florida, New Jersey, New York, South Carolina, and Washington state) in 2000 and data from 72,829 hospital discharge abstracts representing all HIV-related admissions in the same states in 2004 are used. These data were obtained from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project, and they were combined with data on the number of persons living with HIV that were obtained from the Centers for Disease Control and Prevention and 2 state departments of health.Study Design: This study compares the hospital care received by persons living with HIV in 6 states in calendar year 2000 with the hospital care received by persons living with HIV in calendar year 2004 in the same 6 states. This study also compares population-based measures of hospital utilization (ie, to measure the average utilization of hospital care per person living with HIV in each state) across the 6 states.Results: This study found that the average age of a hospitalized patient with HIV rose from 41 to 44 years and that the average number of diagnoses rose from 6.0 to 7.4. Moreover, it was found that the average number of admissions per person living with HIV fell 39% and that the percentages of female and black patients with HIV remained the same.Conclusions: Hospitalized patients living with HIV are getting older and sicker, although the average number of admissions per person living with HIV continues to fall.