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首页> 外文期刊>AIDS care. >Outcomes of HIV/AIDS case management in New York.
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Outcomes of HIV/AIDS case management in New York.

机译：纽约艾滋病毒/艾滋病病例管理的成果。

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The purpose of this study was to examine HIV case management (CM) outcomes in New York State. The results presented here are part of a larger study that explored: client needs identified during CM, success in arranging needs, other case managers used by the client, coordination between multiple case managers, client satisfaction with CM, and the correlation between health care costs and CM. This paper focuses on the linkage of clients with services. Twenty-eight agencies and 588 clients participated in the study. Each client's chart was reviewed; clients and case managers were interviewed. Almost 9,000 client needs were identified; 79.3% of these needs were for services. Over 72% of needed services were arranged for clients. However, of the services arranged, 12.9% were never utilized. Success in arranging services did not vary based on client demographics; client utilization of services, once arranged, varied based on only one demographic factor (clients who lived outside of New York City had higher utilization rates than those who lived in the city, p < or = 0.05). Services provided directly by the CM agency were arranged and utilized more frequently than services provided by another agency (p < or = 0.05). Medical needs were arranged and utilized at a higher rate-and legal needs at a lower rate-than other services, regardless of where the service was provided (p < or = 0.05). On average it took 2.3 months to arrange a service; however it took less time to arrange medical services and more time to arrange legal services (p < or = 0.05). Females, individuals whose mode of HIV transmission was heterosexual contact, clients whose children were living with them, the inadequately housed, and those without a high school diploma had significantly more needs than other clients (p < or = 0.05). Our study supports CM models that provide intensive services to women with children; the provision of multiple services, in addition to CM, within a single agency; and the need for case manager training on how to work with clients to increase service utilization.
机译：这项研究的目的是检查纽约州的HIV病例管理（CM）结果。此处显示的结果是所研究的较大研究的一部分：在CM期间确定客户需求，成功安排需求，客户使用的其他案例管理员，多个案例经理之间的协调，客户对CM的满意度以及医疗保健成本之间的相关性和CM。本文着重于客户与服务之间的联系。 28个机构和588位客户参加了该研究。每个客户的图表都经过审查;客户和案件经理接受了采访。确定了将近9,000个客户需求;这些需求中有79.3％用于服务。超过72％的所需服务是为客户安排的。但是，在安排的服务中，从未使用过12.9％。服务安排的成功与否取决于客户的人口统计;安排后，客户的服务使用率仅基于一个人口统计学因素而变化（居住在纽约市以外的客户的使用率要高于居住在纽约市的客户，p <或= 0.05）。与其他代理机构提供的服务相比，由CM代理机构直接提供的服务的安排和使用频率更高（p <或= 0.05）。与其他服务相比，无论在何处提供服务，医疗需求的安排和使用率都较高，法律需求的使用率较低（p <或= 0.05）。安排服务平均需要2.3个月;但是，安排医疗服务的时间更少，而安排法律服务的时间也更多（p <或= 0.05）。女性，以艾滋病毒传播方式为异性接触的个人，与子女同住，没有足够住房的客户以及没有高中文凭的客户比其他客户有更多的需求（p <或= 0.05）。我们的研究支持为有孩子的妇女提供强化服务的CM模型。在单个代理机构中除了提供CM外，还提供多种服务;以及需要案例管理人员进行如何与客户合作以提高服务利用率的培训。

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