...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >HIV multidisciplinary teams work: support services improve access to and retention in HIV primary care.
【24h】

HIV multidisciplinary teams work: support services improve access to and retention in HIV primary care.

机译：艾滋病毒多学科小组的工作：支持服务改善了艾滋病毒初级保健的获取和保留。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The multidisciplinary team model of HIV care evolved out of necessity due to the diverse characteristics and needs of people living with HIV disease. Though it is now accepted as the international standard of care, it represents a significant departure from methods of care for other infectious diseases, and debate continues regarding the effectiveness of its interventions. The debate has been largely uninformed by data; for example, little is known about the relationship between ancillary support services and primary care outcomes. We hypothesized that support services increase access to and retention in HIV primary care in an inner city public hospital clinic. We conducted a retrospective analysis of clinical data sets on 2,647 patients at the CORE Center, Chicago from 1997-1998 to investigate the relationship between four support services-case management (CM), transportation (TRANS), mental health (MH) and chemical dependency (CD)-and access to and retention in HIV primary care. We found that patients who received each of these services were significantly more likely to receive any care, regular care and had more visits than patients with no service, and retention increased by 15-18%. Female gender, younger age, self-pay status and IDU predicted less regular care. Need for all services was substantial and significantly greater in women. Outcomes improved to the greatest extent among patients who needed and received each service. We conclude that support services significantly increased access to and retention in HIV primary care. Our findings validate the multidisciplinary team model of HIV care, and suggest that health services that are tailored to the express needs of patients lead to better care and improved health outcomes. Further testing of changes in health care delivery to meet the rapidly changing needs of people living with HIV disease and respond to the constantly changing practice of HIV medicine is urgently needed to maintain and extend the advances in HIV care outcomes of the past decade.
机译：由于艾滋病毒感染者的特征和需求各不相同，因此艾滋病毒护理的多学科团队模型已从必要性中演变而来。尽管现在已被接受为国际护理标准，但它代表着对其他传染病的护理方法的重大偏离，有关其干预效果的争论仍在继续。辩论基本上没有数据。例如，关于辅助支持服务与初级保健结局之间的关系知之甚少。我们假设支持服务可增加在市中心的公立医院诊所中获得艾滋病毒初级保健的机会并保持这种状态。我们对1997年至1998年在芝加哥CORE中心的2647名患者的临床数据进行了回顾性分析，以研究四种支持服务的关系：案例管理（CM），交通运输（TRANS），精神健康（MH）和化学依赖性（CD）-以及获得和保留艾滋病毒初级保健的机会。我们发现接受这些服务的患者比没有服务的患者接受任何护理，定期护理和就诊的可能性要高得多，而且保留率提高了15％至18％。女性，较年轻的年龄，自费状况和注射吸毒者预测定期护理会减少。妇女对所有服务的需求很大，而且需求明显增加。在需要和接受每种服务的患者中，结局得到最大程度的改善。我们得出的结论是，支持服务大大增加了获得和保留艾滋病毒初级保健的机会。我们的研究结果验证了HIV护理的多学科团队模型，并表明针对患者明确需求量身定制的健康服务可带来更好的护理并改善健康结果。迫切需要进一步测试医疗保健服务的交付情况，以满足艾滋病病毒感染者迅速变化的需求并应对不断变化的艾滋病毒医学实践，以保持和扩展过去十年中艾滋病毒治疗成果的进步。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号