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The role of ancillary services in client-centred systems of care.

机译：辅助服务在以客户为中心的护理系统中的作用。

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The studies in this issue reflect the operation of the Ryan White CARE Act's holistic model of health and support services for people living with HIV in the USA. Ancillary services available through the CARE Act are responsive to predisposing factors, enabling factors, and system characteristics that pose barriers to clients' receipt of primary medical care. That nearly all of the studies use cross-sectional rather than longitudinal data makes it difficult to draw causal inferences. Taken as a whole, however, the studies suggest that receipt of ancillary services such as case management, mental health and substance abuse treatment, transportation, and housing assistance is associated with primary care entry and retention among CARE Act clients. The studies and the literature out of which they arise suggest that there is a need to refine further our understanding of care systems so that we can refine the care systems themselves. Among the concepts proposed for the study of care systems are comprehensiveness, capacity, coordination, integration, cultural competence, and client-centredness.
机译：本期的研究反映了《瑞安·怀特关怀法案》（Ryan White CARE Act）针对美国艾滋病毒携带者的健康和支持服务的整体模型的运作情况。通过《 CARE法》可获得的辅助服务是对构成阻碍客户接受初级医疗服务的诱发因素，促成因素和系统特征的响应。几乎所有研究都使用横截面数据而不是纵向数据，因此很难得出因果关系推断。从总体上看，这些研究表明，接受辅助服务（例如病例管理，精神健康和药物滥用治疗，运输和住房援助）与《 CARE法案》客户进入和保留初级保健有关。研究和由此产生的文献表明，有必要进一步完善我们对护理系统的理解，以便我们可以完善护理系统本身。为护理系统研究提出的概念包括全面性，能力，协调性，整合性，文化能力和以客户为中心。

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