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首页> 外文期刊>AIDS care. >Barriers to getting needed services for Ryan White CARE clients.
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Barriers to getting needed services for Ryan White CARE clients.

机译：为Ryan White CARE客户获得所需服务的障碍。

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摘要

To determine why HIV-infected persons do not access needed services, we interviewed clients of Ryan White CARE-funded agencies in San Francisco, San Mateo and Marin Counties. From July to September 1996, we interviewed 519 clients receiving services at 65 CARE-funded sites. Just over half the clients (54.5%) had at least one unmet service need in the previous four months; persons in an unstable living situation and those with lower perceived health status were significantly more likely to have an unmet need. For persons with unmet needs, agency barriers were most common (54.0%), followed by emotional issues (44.8%), lack of information (44.0%) and financial/practical barriers (19.4%). None of the client characteristics (sex, race/ethnicity, age, living situation, perceived health status and risk group) were consistently or significantly (p < 0.05) associated with specific barriers. We believe that the similarity between clients with and without unmet needs reflects the success of CARE in eliminating many barriers. However, the persistence of certain barriers and lack of sub-group-specific barriers suggests the need for individualized interventions to improve service delivery, publicize service availability and address the emotional barriers to accessing HIV-related care.
机译：为了确定为什么艾滋病毒感染者无法获得所需的服务，我们采访了Ryan White CARE资助的旧金山，圣马特奥和马林县的机构的客户。从1996年7月至9月，我们采访了65个CARE资助地点的519位接受服务的客户。在过去的四个月中，略超过一半的客户（54.5％）至少有一项未满足的服务需求;生活状况不稳定的人和健康状况较低的人更有可能没有得到满足。对于需求未得到满足的人，代理人障碍最常见（54.0％），其次是情绪问题（44.8％），信息匮乏（44.0％）和财务/实践障碍（19.4％）。客户的特征（性别，种族/民族，年龄，生活状况，感知的健康状况和危险人群）均未与特定障碍保持一致或显着（p <0.05）。我们相信，无论需求是否满足，客户之间的相似性都反映出CARE在消除许多障碍方面的成功。但是，某些障碍的持续存在以及缺乏针对特定人群的障碍表明，需要采取个体化的干预措施来改善服务的提供，宣传服务的可用性并解决获得艾滋病相关服务的情感障碍。

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