Estimation of unmet need for HIV primary medical care: A framework and three case studies
Estimation of unmet need for HIV primary medical care: A framework and three case studies
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DOI：
10.1521/aeap.2005.17.supplement
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发表时间：
2005-12-01
影响因子：
1.8
通讯作者：
Kahn, JG
中科院分区：
文献类型：
--
作者：
Ikard, K;Janney, J;Kahn, JG
《瑞安·怀特艾滋病综合资源紧急法案》的重新授权要求每个司法管辖区估计未满足护理需求的艾滋病毒/艾滋病感染者的数量。过去对未满足需求的评估使用了不同的护理定义，依赖于定性评估，或检查了不具代表性的亚群。本文概述了一个单一的、灵活的框架，旨在定量地估计各种情况下未满足的需求。该框架采用了未满足需求的定义，重点关注艾滋病毒初级医疗保健（12个月期间的CD4检测、病毒载量检测或抗逆转录病毒治疗），采用标准分析结构整合人口和护理数据，并允许使用当地现有数据。我们报告了三个现场测试（路易斯安那州、亚特兰大和旧金山）。实地测试表明，未满足需求框架提供了一种方法，各州和大都市地区可以使用这种方法来估计未满足艾滋病毒初级医疗保健需求的个人人数。
Reauthorization of the Ryan White Comprehensive AIDS Resources Emergency Act requires that each jurisdiction estimate the number of people living with HIV/AIDS who have unmet need for care. Past assessments of unmet need have used various definitions of care, relied on qualitative evaluations, or examined nonrepresentative subpopulations. This article outlines a single, flexible framework designed to quantitatively estimate unmet need in varied settings. The framework adopts a definition of unmet need which focuses on HIV primary medical care (CD4 test, viral load test, or antiretroviral therapy in a 12-month period), employs a standard analytic structure to integrate population and care data, and allows use of locally available data. We report on three field tests (Louisiana, Atlanta, and San Francisco). The field tests suggest that the unmet need framework provides an approach which can be used by states and metropolitan areas to estimate the number of individuals with unmet need for HIV primary medical care.