PS05-085, Surv of HIV/AIDS Related Events Among Persons Not Receiving Care

这一监测举措的目的是提供必要的信息， 实施有效干预措施，将预防、治疗和护理联系起来，并鼓励利用 这些服务的艾滋病毒感染者谁是不接受护理在新泽西。具体而言是 新泽西卫生和高级服务部艾滋病毒/艾滋病服务司将1）确定 被诊断为艾滋病毒感染者，但没有接受护理的人，2）确定接受护理的障碍 通过与病人面谈，以及3）确定被诊断为艾滋病毒感染者的临床状况 感染，但没有得到照顾，和4）估计将需要增加的资源时， 这些人与护理有关。这符合该司的使命“.预防、治疗和 减少艾滋病在新泽西的传播。为了履行这一使命，卫生和健康部将监测这一流行病， 并通过其资源确保有艾滋病毒风险或感染艾滋病毒的个人能够获得 文化上有能力的、以社区为基础的网络，提供优质和全面的服务。" 将通过艾滋病毒/艾滋病登记处的数据库与下列数据库进行匹配，确定客户是否未接受医疗服务： 实验室（CD 4和病毒载量）数据、处方药数据和医疗服务数据库。随机 将选择没有匹配的实验室或临床数据的已知HIV感染者样本， 联系人员面谈，以确定与他们不寻求护理有关的因素。罪要归 从知情同意的受试者中采集，用于实验室检测，包括HIV病毒载量、CD 4计数，以及 进行耐药性测试，以评估其临床状况。与会者将收到关于现有预防措施的信息 和护理服务。这与公共卫生有关，因为它提高了监测 协助制定干预措施，以阻止疾病的传播，并确定需要采取的行动， 减少护理障碍。确定影响艾滋病毒感染者决定不 接受护理将加强努力，让更多的人接受护理，减少疾病进展， 从而减少艾滋病毒传播。

The purpose of this surveillance initiative will be to provide information that is necessary for developing and implementing effective interventions for linking prevention, treatment and care, and encouraging the use of these services by HIV-infected persons who are not receiving care in New Jersey. Specifically, the New Jersey Department of Health and Senior Services, Division of HIV/AIDS Services, will 1) identify persons who have a diagnosis of HIV, but who are not receiving care, 2) ascertain barriers to receiving care through patient interview, and 3) determine the clinical status of persons who have a diagnosis of HIV infection, but who are not receiving care, and 4) to estimate the added resources that will be required when these individuals are linked to care. This is consistent with the Division's mission "...to prevent, treat, and reduce the spread of HIV in New Jersey. In keeping with this mission, the DHAS will monitor the epidemic, and assure through its resources that individuals who are at risk or infected with HIV have access to culturally competent, community-based networks that provide qualitative and comprehensive services." Clients will be identified as not receiving medical care by database matches of the HIV/AIDS registry with databases of laboratory (CD4 and viral load) data, prescription drug data, and medical services. A random sample of known HIV-infected persons with no matching laboratory or clinical data will be selected and contacted for personnel interview to determine factors related to their not seeking care. Blood will be collected from consenting participants for laboratory testing including HIV viral loads, CD4 counts, and resistance testing to assess their clinical status. Participants will receive information on available prevention and care services. This is relevant to public health because it increases the capacity to monitor the epidemic, assists in developing interventions to stop the spread of disease, and identifies actions needed to reduce barriers to care. Determining the factors that affect an HIV-infected individual's decision not to receive care will strengthen efforts to get more people into care, reduce disease progression, and subsequently reduce HIV transmission.