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

项目摘要：需要关于未满足需求和严重性的高质量、基于人口的数据， 需要在地方一级提供护理、预防和支助服务，以协助地方规划小组（即： 社区规划小组和地方规划委员会），以确定CDC和Ryan的地方分配 白色关怀法案基金。我们将确定和采访最近被诊断为艾滋病毒感染者， 医疗护理的证据。从访谈数据中，深入了解艾滋病毒的障碍因素 受感染的病人在获得护理或导致延迟进入护理系统，可以作为一个基础， 改善服务提供。了解影响发病率的重要行为决定因素将 还可以更有效地将资源分配到目前可能不充分的领域， 处理。这些措施包括病例管理，提高治疗依从性的设备和药物 治疗方案。与不接受护理有关的决定因素在设计有效的 将人与护理联系起来的干预措施。将从同意接受以下治疗的受试者中采集血液样本： CD 4计数、HIV病毒载量和耐药性检测。从实验室收集的数据来看， 同意，我们可以确定医疗服务的范围和资源，将需要的人， 感染了艾滋病毒，但没有得到医疗照顾。 相关性：该方案的目的是建立一个艾滋病毒/艾滋病补充监测系统， 查明已被诊断感染艾滋病毒但未接受治疗的人。所收集的数据 将被用来确定当这个人口被链接到 在乎该方案的可衡量成果将与国家计划的以下目标保持一致： 艾滋病毒、性传播疾病和结核病预防中心：1）到2010年， 获得适当预防、护理和治疗服务的艾滋病毒感染者比例， 衡量标准是那些报告在感染艾滋病毒后三个月内接受过某种形式的医疗护理的人 （2）加强全国监测流行病的能力，制定和实施有效的预防措施， 艾滋病毒预防干预措施和评估预防方案。

Project Summary: There is a need for high-quality, population-based data on unmet need and severity of need for care, prevention, and support services on the local level to assist local planning groups (i.e. Community Planning Groups and local planning councils) in determining local allocation of CDC andiRyan White CARE Act funds. We will identify and interview recently diagnosed persons with HIV without vidence of medical care. From the interview data, insights into the factors that act as barriers for HIV infected patients in access to care or result in a delay into the care system, can serve as a basis for improved service delivery. Knowledge of the important behavioral determinants that impact morbidity will also allow for more effective allocation of resourcesto areas that may presently not be adequately addressed. These include case management, devices for improving treatment adherence and drug treatment programs. Determining factors related to not receiving care will be important in designing effective interventions for linking persons to care. Blood specimens will be collected from subjects who consent for CD4 count, HIV viral load and resistance testing. From the laboratory data that is collected for those that consent, we can determine the extent of medical services and resources that will be needed for persons who are infected with HIV, but who have not received medical care. Relevance: The purpose of this program is to develop a supplemental HIV/AIDS surveillance system to identify persons who have a diagnosis of HIV infection and who are not receiving care. The collected data will be used to determine the potential added resources that will be required when this population is linked to care. Measurable outcomes of the programwill be in alignment with the following goals for the National Center for HIV, STD and TB Prevention (NCHSTP): 1) By 2010, increase to at least 80 percent the proportion of HIV-infected people who are linked to appropriate prevention, care, and treatment services, as measured by those who report having received some form of medical care within three months of their HIV diagnosis; 2) Strengthen the capacity nationwide to monitor the epidemic, develop and implement effective HIV prevention interventions and evaluate prevention programs.