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首页> 外文期刊>AIDS care. >Associations between HIV-positive individuals' receipt of ancillary services and medical care receipt and retention.
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Associations between HIV-positive individuals' receipt of ancillary services and medical care receipt and retention.

机译：HIV阳性个体的辅助服务接收与医疗护理接收和保留之间的关联。

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This study examines associations between HIV-positive individuals' receipt of ancillary services and their receipt of and retention in primary medical care. Ancillary care services examined include case management, mental health and substance abuse treatment/counseling, advocacy, respite and buddy/companion services, as well as food, housing, emergency financial assistance, and transportation. The selection criterion used was the receipt of care from January-June 1997 at selected facilities receiving funding under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, a federally funded safety net programme in the USA. The receipt of each ancillary service was associated with the receipt of any primary medical care from a safety net provider. All ancillary services were more strongly associated with primary care receipt than with retention in care or the mean number of primary care visits per year. Mental health and substance abuse treatment/counselling, client advocacy, respite care and buddy/companion services all had significant associations with all primary medical care measures. This is the first time in one study that the primary medical and ancillary services received by all clients at safety net-funded providers from multiple cities and states have been examined. All types of safety net providers, from the largest medical centre to the smallest community-based organization, are represented in this study. The patterns seen here are similar to the findings from the other, geographically more restricted, studies reported on in this volume.
机译：这项研究检查了HIV阳性个体接受辅助服务与他们接受和保留初级医疗服务之间的关联。所检查的辅助护理服务包括病例管理，心理健康和药物滥用治疗/咨询，宣传，喘息和伙伴/陪伴服务，以及食品，住房，紧急经济援助和运输。所采用的选择标准是1997年1月至6月在根据美国联邦政府资助的安全网计划“瑞安·怀特综合艾滋病资源紧急状态（CARE）法案”获得资助的特定设施中接受护理。每次辅助服务的接收都与安全网提供商提供的任何基本医疗服务相关。所有辅助服务与基层医疗收据的联系要强得多，而不是与保留护理或每年平均基层医疗就诊次数相关。心理健康和药物滥用治疗/咨询，客户支持，暂息护理和伙伴/陪伴服务均与所有主要医疗措施均具有显着关联。这是一项研究中第一次检查了来自多个城市和州的由安全网资助的提供商在所有客户中获得的主要医疗和辅助服务。从最大的医疗中心到最小的社区组织，所有类型的安全网提供者都可以参加本研究。此处看到的模式与本卷所报道的其他地理分布受限的研究结果相似。

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