Recipients in need of ancillary services and their receipt of HIV medical care in California
Recipients in need of ancillary services and their receipt of HIV medical care in California
复制标题
DOI：
10.1080/0954012021000009665
复制
发表时间：
2002-08-01
影响因子：
1.7
通讯作者：
Sabatier, S
中科院分区：
文献类型：
--
作者：
Chan, D;Absher, D;Sabatier, S
对于许多能够获得高质量医疗服务的人来说，艾滋病毒疾病不再是一种严重的短期疾病，而是一种慢性病，导致更多的客户需要持续的医疗服务。由联邦《瑞安·怀特艾滋病综合资源紧急法案》资助的项目不仅为这些人提供基本的医疗护理，而且为他们获得医疗服务提供便利。这些规划为包括病例管理、运输和翻译援助在内的服务提供资金，这些服务具有持续援助的特点，并使个人能够留在卫生保健系统中。由于维持严格的药物治疗方案的重要性，保留护理也是整个艾滋病毒护理组成部分的重要组成部分。本研究分析了辅助服务和联邦医疗保健计划客户的医疗保健和保留在医疗保健系统的关系。我们通过设计问卷来确定与需求相关的因素，在一定程度上定义了需要辅助服务的队列。这些因素包括教育、语言和物质使用。通过合并客户层面的数据文件，我们能够确定接受大量辅助服务（在两年研究期间超过11次辅助服务访问，n = 138）和接受较少服务（在两年研究期间少于6次辅助服务访问，n = 132）的队列中个体的医疗服务利用趋势。结果表明，辅助服务的接收与接收和保留在初级医疗保健相关。我们发现，对于需要辅助服务的联邦健康计划客户，他们接受辅助服务与获得初级医疗保健之间存在正相关关系（p小于或等于0.001）。在控制了年龄、种族、性别和保险范围后，这一观察结果仍然成立。此外，当这些客户接受所需的辅助服务时，他们更有可能在连续三个月的时间内至少看一次医生（p小于或等于0.01）。
For many individuals with access to quality medical care, HIV disease is no longer a critical short term illness but a chronic condition giving rise to more clients requiring ongoing medical care. Programs funded by the federal Ryan White Comprehensive AIDS Resources Emergency Act not only provide essential medical care for these individuals but also facilitate access to medical care services. These programmes fund services, including case management, transportation, and translation assistance, that feature ongoing assistance and enable individuals to remain in the health care system. Because of the importance of maintaining the strict drug regimen, retention in care is also an important part of the overall HIV care component. This study analyzed the relationship of ancillary services and a federal health programme client's receipt of medical care and retention in the health care system. We defined a cohort in need of ancillary services in part by a questionnaire designed to identify factors relating to need. These factors included education, language, and substance use. By merging client level data files we were able to identify medical service utilization trends among the individuals in the cohort who received a high number of ancillary services (more than 11 ancillary service visits in the two-year study period, n = 138) and those who received few services (fewer than six ancillary service visits in the two-year study period, n = 132). Results suggest that the receipt of ancillary services is associated with receipt of and retention in primary medical care. We found that for federal health programme clients in need of ancillary services, a positive relationship existed between their receipt of ancillary services and their access to primary medical care (p less than or equal to0.001). This observation held constant when age, race, gender, and insurance coverage were controlled for. Also, these clients were more likely to be seen by a medical doctor at least once in three consecutive six-month periods when they received needed ancillary services (p less than or equal to0.01).