Assessment of a medical outreach program to improve access to HIV care among marginalized individuals
Assessment of a medical outreach program to improve access to HIV care among marginalized individuals
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DOI：
10.2105/ajph.2006.090878
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发表时间：
2007-10-01
影响因子：
12.7
通讯作者：
Sohler, Nancy L.
中科院分区：
文献类型：
--
作者：
Cunningham, Chinazo O.;Sanchez, John Paul;Sohler, Nancy L.
边缘化人口受艾滋病毒影响的比例过高，但他们很难获得保健服务。外联方案的重点是改善获得服务的机会，但很少进行评估。我们评估了一项针对居住不稳定的HIV感染者的医疗外展计划。我们提取了2003-2005年的数据，以检查是否保持医疗预约与患者和项目特征相关。（与未来的任命相比;调整后的优势比[AOR] = 1.69; 95%可信区间[CI] = 1.38，2.08），当他们在社区组织的救助中心时（与单人入住酒店相比; AOR=2.50; 95% CI =1.54，4.17），或由非医疗提供者提供时（与医疗提供者相比;未来预约：AOR = 1.38; 95% CI = 1.05，1.80;当天预约：AOR = 1.70; 95%CI = 1.03，2.81）。这些结果表明，在向边缘化人群提供卫生服务时，与项目相关的特征非常重要。
Marginalized populations are disproportionately affected by HIV, yet they have poor access to health services. Outreach programs focus on improving access, but few are evaluated. We assessed a medical outreach program targeting unstably housed, HIV-infected individuals. We extracted data from 2003-2005 to examine whether keeping medical appointments was associated with patient and program characteristics.Patients kept appointments more frequently when they were walk-in or same-day appointments (compared with future appointments; adjusted odds ratio [AOR] = 1.69; 95% confidence interval [Cl] = 1.38, 2.08), when they were at a community-based organization's drop-in center (compared with single-room occupancy hotels; AOR=2.50; 95% Cl=1.54, 4.17), or when made by nonmedical providers (compared with medical providers; future appointments: AOR = 1.38; 95% Cl = 1.05, 1.80; same-day appointments: AOR = 1.70; 95% Cl = 1.03, 2.81).These findings demonstrate the importance of program-related characteristics in health services delivery to marginalized populations.