Patients referred to an urban HIV clinic frequently fail to establish care: factors predicting failure
Patients referred to an urban HIV clinic frequently fail to establish care: factors predicting failure
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DOI：
10.1080/09540120412331336652
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发表时间：
2005-08-01
影响因子：
1.7
通讯作者：
Grimes, RM
中科院分区：
文献类型：
--
作者：
Giordano, TP;Visnegarwala, F;Grimes, RM
为了衡量新进入门诊治疗的患者建立常规治疗的成功率，并评估种族/民族是否是一个预测因素，我们对1998年4月20日至1998年12月31日在托马斯街诊所（一家为无保险人员开设的县诊所）就诊的新患者进行了病历审查。如果患者在摄入后的6个月内（“初始期”）从未看过医生，则被认为是“未建立”，如果看到但在初始期开始的护理间隔> 6个月，则被认为是“建立不良”，如果没有这样的间隔，则被认为是“建立”。在404例患者中，11%为“未建立”，37%为“建立不良”，53%为“建立”。注射毒品作为HIV危险因素（IDU），承认目前饮酒和吸毒，年龄35岁是保护性的。在这项单中心研究中，一半接受护理的贫困患者未能建立定期护理。药物使用和年龄较小是未能建立护理的预测因素。
To measure the success with which patients newly entering outpatient care establish regular care, and assess whether race/ethnicity was a predictive factor, we conducted a medical record review of new patients seen 20 April 1998 to 31 December 1998 at The Thomas Street Clinic, a county clinic for uninsured persons. Patients were considered 'not established' if they never saw a physician in the 6 months after intake ( the 'initial period'), 'poorly established' if seen but a > 6-month gap in care began in the initial period, and 'established' if there were no such gaps. Of 404 patients, 11% were 'not established', 37% 'poorly established', and 53% 'established'. Injection drug use as HIV risk factor (IDU), admitted current alcohol and drug use, age 35 years was protective. Half the indigent patients entering care in this single-site study fail to establish regular care. Substance use and younger age are predictors of failure to establish care.