Medical and support service utilization in a medical program targeting marginalized HIV-infected individuals.
Medical and support service utilization in a medical program targeting marginalized HIV-infected individuals.
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DOI：
10.1353/hpu.0.0035
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发表时间：
2008-08
影响因子：
1.4
通讯作者：
Sohler NL
中科院分区：
文献类型：
--
作者：
Cunningham CO;Sanchez JP;Li X;Heller D;Sohler NL
促进艾滋病毒保健服务利用的一项战略是将支助服务与医疗服务结合起来。我们制定了一个计划，提供艾滋病毒的医疗保健和支持服务，边缘化的人，并评估支持和医疗服务利用之间的关联。我们提取了218名新入组的计划参与者的数据，从计划入组前3个月到计划入组后6个月，并分析了支持和医疗服务之间的关联。病例管理访视（AOR=1.95，95% CI 1.04-3.67）和团体访视（AOR=2.59，95% CI 1.30-5.16）与更大的季度医疗访视几率相关。外展访视与在传统医疗环境中进行医疗访视的几率更大相关（AOR=2.31，95% CI 1.15-4.67）。病例管理、支持小组和外展与艾滋病毒医疗访问有关。进一步研究如何将支持服务纳入艾滋病医疗计划，以改善卫生保健服务，这对卫生政策和计划的制定至关重要。
One strategy to facilitate HIV health care services utilization is to incorporate support services with medical services. We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization. We extracted data on 218 newly enrolled program participants 3 months prior to through 6 months after program enrollment, and analyzed associations between support and medical services. Case management visits (AOR=1.95, 95% CI 1.04–3.67) and group visits (AOR=2.59, 95% CI 1.30–5.16) were associated with greater odds of quarterly medical visits. Outreach visits were associated with greater odds of having a medical visit in a traditional medical setting (AOR=2.31, 95% CI 1.15–4.67). Case management, support groups, and outreach were associated with HIV medical visits. Further research exploring how integration of support services into HIV medical programs can improve health care delivery is crucial for health policy and program development.
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