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Ancillary services and retention of youth in HIV care.

机译：辅助服务和青年人的艾滋病毒护理。

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摘要

The purpose of this prospective study was to test the relationship between receipt of ancillary services (case management, advocacy, counseling) over six months and retention of youth in HIV care in the subsequent six months. Medical records of 75 youth (ages 16-25) enrolled in a comprehensive HIV care program at a university-affiliated medical center in Detroit, Michigan were reviewed for receipt of services in a 12-month period. The youth program offered medical and ancillary services in a one-stop-shopping model. The expectation for medical care for youth was at least quarterly medical appointments. A three-point scale was constructed with a score of '0' indicating no gaps (at least one medical care appointment every three months in a six-month period), a score of '1' indicating one gap (no appointment in one of the two quarters) and a score of '2' indicating two gaps (no appointments in six months). Increased receipt of ancillary services in the first six months predicted lower gap scores in the second six months, even controlling for gap scores in the first six months. Counseling appointments were the strongest predictor. Preliminary results suggest the continued need for resources allocated to ancillary services to support retention in care.
机译：这项前瞻性研究的目的是测试六个月以上的辅助服务（案例管理，辩护，咨询）的接收与随后六个月中青年人保持艾滋病毒护理之间的关系。对在密歇根州底特律的一家大学附属医疗中心参加了一项综合性HIV护理计划的75名青年（16至25岁）的病历进行了12个月的服务审查。青年方案以一站式购物模式提供医疗和辅助服务。对青年人的医疗护理期望至少每季度一次。构建了一个三分制的量表，得分为“ 0”表示没有差距（六个月内每三个月至少进行一次医疗预约），得分为“ 1”表示一个差距（其中一项没有任命。两个季度），得分为“ 2”表示存在两个差距（六个月内没有约会）。前六个月辅助服务的接收量增加，预计第二个六个月的缺口得分会更低，甚至控制前六个月的缺口得分也是如此。咨询约会是最强的预测因素。初步结果表明，继续需要分配给辅助服务的资源以支持保持护理。

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