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  1. A model clinic for the initial evaluation and establishment of primary care for persons infected with human immunodeficiency virus.

    Article - En anglais

    Background 

    The human immunodeficiency virus (HIV) - infected patients on initial presentation to primary medical care may have extensive problems relating to medical, substance abuse, psychiatric, and social issues.

    We examined a model for the initiation of primary medical care for patients infected with HIV at a public hospital and presented the clinical, educational, and research benefits associated with such a clinic.

    Methods 

    Eight hundred forty-five consecutive HIV-infected outpatients without primary care, who presented to a municipal hospital HIV intake clinic, the Diagnostic Evaluation Unit, between February 1,1990 and August 31,1993, received a multidisciplinary assessment and a facilitated access to medical services.

    The performance of standardized initial clinical evaluation and adherence to primary care referral were examined.

    Results 

    During the most recent study year, more than 90% of patients presenting to the clinic completed the intake process and 95% were seen at the site to which they were referred for primary medical care.

    Conclusions 

    Establishment of a clinic dedicated to the initial evaluation of HIV-infected persons in a municipal hospital successfully evaluated and linked patients to primary care providers.

    The clinic structure enabled the standardized performance of appropriate laboratory tests and vaccinations and provided unique educational and research opportunities.

    Mots-clés Pascal : SIDA, Virose, Infection, Soin santé primaire, Hôpital, Evaluation, Homme, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Primary health care, Hospital, Evaluation, Human, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0470482

    Code Inist : 002B06D01. Création : 01/03/1996.