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首页> 外文期刊>AIDS care. >Recipients in need of ancillary services and their receipt of HIV medical care in California.
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Recipients in need of ancillary services and their receipt of HIV medical care in California.

机译：加利福尼亚州需要辅助服务并获得艾滋病毒医疗服务的收件人。

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For many individuals with access to quality medical care, HIV disease is no longer a critical short term illness but a chronic condition giving rise to more clients requiring ongoing medical care. Programs funded by the federal Ryan White Comprehensive AIDS Resources Emergency Act not only provide essential medical care for these individuals but also facilitate access to medical care services. These programmes fund services, including case management, transportation, and translation assistance, that feature ongoing assistance and enable individuals to remain in the health care system. Because of the importance of maintaining the strict drug regimen, retention in care is also an important part of the overall HIV care component. This study analyzed the relationship of ancillary services and a federal health programme client's receipt of medical care and retention in the health care system. We defined a cohort in need of ancillary services in part by a questionnaire designed to identify factors relating to need. These factors included education, language, and substance use. By merging client level data files we were able to identify medical service utilization trends among the individuals in the cohort who received a high number of ancillary services (more than 11 ancillary service visits in the two-year study period, n = 138) and those who received few services (fewer than six ancillary service visits in the two-year study period, n = 132). Results suggest that the receipt of ancillary services is associated with receipt of and retention in primary medical care. We found that for federal health programme clients in need of ancillary services, a positive relationship existed between their receipt of ancillary services and their access to primary medical care (p
机译：对于许多可以获得优质医疗服务的个人而言，HIV疾病不再是短期的严重疾病，而是一种慢性病，导致更多的需要持续医疗服务的客户。由联邦《瑞安·怀特综合艾滋病资源紧急法案》资助的计划不仅为这些人提供必要的医疗服务，而且还为他们提供了医疗服务。这些计划为包括案例管理，运输和翻译协助在内的服务提供资金，这些服务具有不断提供的帮助，并使个人能够留在医疗保健系统中。由于维持严格的药物治疗方案的重要性，因此保持护理也是整个HIV护理组成部分的重要组成部分。这项研究分析了辅助服务与联邦卫生计划客户获得医疗护理并保留在医疗保健系统中的关系。我们通过设计问卷来确定需要辅助服务的人群，该问卷旨在识别与需求相关的因素。这些因素包括教育，语言和药物使用。通过合并客户级别的数据文件，我们能够确定队列中接受了大量辅助服务的个人（在两年研究期内，进行了11次以上辅助服务访问，n = 138）中的医疗服务使用趋势，以及那些他们接受的服务很少（在两年的研究期内，少于六次辅助服务访问，n = 132）。结果表明，辅助服务的接收与初级医疗的接收和保留有关。我们发现，对于需要辅助服务的联邦健康计划客户，他们在获得辅助服务与获得初级医疗服务之间存在正相关关系（p

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