Determinants of HIV Outpatient Service Utilization: A Systematic Review
Determinants of HIV Outpatient Service Utilization: A Systematic Review
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DOI：
10.1007/s10461-014-0814-z
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发表时间：
2015-01-01
影响因子：
4.4
通讯作者：
Horgan, Mary
中科院分区：
文献类型：
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作者：
Brennan, Aline;Morley, Deirdre;Horgan, Mary
在高度活跃的抗逆转录病毒治疗时代，由于艾滋病毒患者预期寿命的延长，对艾滋病毒服务的需求不断增加。了解影响流动艾滋病毒服务利用的因素对于规划服务提供很有用。本研究回顾了与利用医院艾滋病毒门诊服务相关的因素。报告按患者或医疗保健特征细分的艾滋病毒特定门诊服务的人均利用率的研究符合纳入条件。安徒生行为模型用于将提取的信息组织到预处置、启用和需求组件中。最终审查中纳入了十项研究。年龄较大、私人保险、城市居住、CD4 计数较低、艾滋病诊断或抗逆转录病毒治疗与较高的利用率相关。本次审查的结果与有关艾滋病毒患者使用卫生服务的现有知识一致。关于卫生服务特征对门诊服务利用的影响的信息很少。
Demands on HIV services are increasing as a consequence of the increased life-expectancy of HIV patients in the highly active antiretroviral therapy era. Understanding the factors that influence utilization of ambulatory HIV services is useful for planning service provision. This study reviewed factors associated with utilization of hospital based HIV out-patient services. Studies reporting person-based utilization rates of HIV-specific outpatient services broken down by patient or healthcare characteristics were eligible for inclusion. The Andersen Behavioral Model was used to organize the information extracted into pre-disposing, enabling and need components. Ten studies were included in the final review. Older age, private insurance, urban residence, lower CD4 counts, a diagnosis of AIDS, or anti-retroviral treatment were associated with higher utilization rates. The results of this review are consistent with existing knowledge regarding HIV patients' use of health services. Little information was identified on the influence of health service characteristics on utilization of out-patient services.