Differences in HIV care between patients with and without severe mental illness
Differences in HIV care between patients with and without severe mental illness
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DOI：
10.1176/appi.ps.58.5.681
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发表时间：
2007-05-01
影响因子：
3.8
通讯作者：
Kanouse, David
中科院分区：
文献类型：
--
作者：
Fremont, Allen M.;Young, Alexander S.;Kanouse, David
目的：本研究探讨了艾滋病毒护理的不同感染者和没有严重的精神疾病。研究方法：通过对来自洛杉矶县和纽约市公共精神卫生机构的295名严重精神疾病和艾滋病毒患者的访谈和图表审查获得数据。数据与来自单独的国家概率样本的1，294名无严重精神疾病的艾滋病毒患者的数据进行了比较。措施是难以获得护理，患者是否建议他们的艾滋病毒护理提供者，医院的问题评分，功能健康状况，和残疾的日子。结果如下：在洛杉矶，患有严重精神疾病的HIV患者比没有严重精神疾病的患者更有可能难以获得护理（p < .001）;不推荐他们的提供者（10%对5%，p=.有问题的医院护理（p=.001），健康状况不佳（p=.001）和更多的残疾日（p
Objective: This study explored how HIV care differs for infected persons with and without severe mental illness. Methods: Data were obtained through interviews with and chart review of 295 patients with severe mental illness and HIV from public mental health agencies in Los Angeles County and New York City. Data were compared with data from 1,294 HIV patients without severe mental illness from a separate national probability sample. Measures were difficulty obtaining care, whether patients recommend their HIV care provider, hospital problem score, functional health status, and disability days. Results: In Los Angeles, HIV patients with severe mental illness were more likely than those without severe mental illness to have difficulty obtaining care (p < .001); to not recommend their provider (10% versus 5%, p=. 007); and to have problematic hospital care (p=.001), poor health status (p=.001), and more disability days (p