Case Management: Steadfast Resource for Addressing Linkage to Care and Prevention with Hospitalized HIV-Infected Crack Users.
Case Management: Steadfast Resource for Addressing Linkage to Care and Prevention with Hospitalized HIV-Infected Crack Users.
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案例管理：解决与住院艾滋病毒感染者的护理和预防联系的稳定资源。
DOI：
10.1080/15381501.2014.964534
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Metsch,Lisa
中科院分区：
文献类型：
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作者：
Kenya,Sonjia;Chida,Natasha;Cardenas,Gabriel;Pereyra,Margaret;DelRio,Carlos;Rodriguez,Allan;Metsch,Lisa
在迈阿密、佛罗里达和亚特兰大、格鲁吉亚的艾滋病毒阳性住院患者中进行了访谈，以检查是否有一个病例管理者与改善的结果有关。我们探讨了当前病例管理员的使用是否与无保护性行为、艾滋病毒护理、抗逆转录病毒药物的使用以及诊断时转诊至病例管理有关。将接受病例管理的患者的结局与没有病例管理者的患者进行比较。目前有病例管理者的参与者更有可能服用艾滋病毒药物，在过去六个月内获得艾滋病毒护理，并在首次诊断时被转介到病例管理。他们在过去六个月内进行无保护性行为的可能性也明显降低。将艾滋病毒阳性患者与病例管理者联系起来的干预措施可能会改善艾滋病毒寻求健康的行为，减少性风险参与，从而改善临床结果。
Interviews were conducted among HIV-positive inpatients in Miami, Florida and Atlanta, Georgia to examine whether having a case manager was associated with improved outcomes. We explored whether current use of a case manager was associated with unprotected sex, HIV care, use of antiretroviral medications, and referral to case management at time of diagnosis. Outcomes among patients who received case management were compared to those without a case manager. Participants with a current case manager were significantly more likely to take HIV medications, have obtained HIV care within the past six months, and have been referred to case management when first diagnosed. They were also significantly less likely to engage in unprotected sex within the last six months. Interventions that link HIV positive patients with a case manager may improve HIV health-seeking behaviors and reduce sexual risk engagement which may lead to improved clinical results.