Social and Medical Factors Affecting Hospital Discharge of Persons with HIV/AIDS
Social and Medical Factors Affecting Hospital Discharge of Persons with HIV/AIDS
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影响艾滋病毒/艾滋病患者出院的社会和医疗因素
DOI：
10.1023/a:1025103101727
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发表时间：
1997
影响因子：
5.9
通讯作者：
P. Arno
中科院分区：
文献类型：
--
作者：
K. Bonuck;P. Arno
尽管门诊护理和药品使社区护理成为可能，但医院仍然是最昂贵和最密集的艾滋病毒/艾滋病护理场所。然而，人们对患者的社会环境对住院时间的影响知之甚少。本文探讨了住房状况、生活安排以及一系列出院障碍对住院时间的影响。调查结果基于护士和社会工作者对 1991 年 6 月至 8 月期间在纽约市四个医疗中心进行的 749 例艾滋病毒/艾滋病住院治疗的回顾性病历审查。三分之一的样品至少经历过一次放电障碍。医疗需求障碍最常见（18%），并且与最长的住院时间（35.3 天）相关，其次是家庭护理和住房障碍（分别为 32.7 天和 30.2 天）。 14% 的样本在入院前要么无家可归，要么处于不稳定的住房状况（例如，短暂居住或“双住”）。无家可归和住房不稳定与住院时间延长 5 天相关，即使控制发病率，这仍然是一个重要因素。这些结果表明，住房不足仍然是艾滋病毒/艾滋病住院患者出院的一个重大障碍。
Although outpatient care and Pharmaceuticals have rendered community-based care possible, hospitals remain the locus of the most costly and intensive HIV/AIDS care. Little is know, however, about the impact of patients' social circumstances upon hospital length of stay. This paper examines the impact of housing status, living arrangements, and a range of barriers to discharge on hospital length of stay. Findings are based on retrospective medical chart reviews by nurses and social workers of 749 HIV/AIDS hospitalizations, occurring between June-August 1991 in four New York City medical centers. One third of the sample experienced at least one barrier to discharge. Medical need barriers were the most common (18%), and were associated with the longest length of stay (35.3 days), followed by home care and housing barriers (32.7 and 30.2 days, respectively). Fourteen percent of the sample were either homeless or in unstable housing situations (e.g., transient or “doubled up”) prior to admission. Homelessness and unstable housing were associated with a 5 day increment in hospital length of stay, and remained a significant factor even controlling for morbidity. These results indicate that inadequate housing remains a significant barrier to discharge among hospitalized persons with HIV/AIDS.
免疫状态和种族对艾滋病毒感染者使用卫生服务的影响。
影响因子：
12.7
作者：
Piette,JD;Mor,V;Mayer,K;Zierler,S;Wachtel,T
通讯作者：
Wachtel,T