Context Studies of selected populations suggest that not all persons infected with human immunodeficiency virus (HIV) receive adequate care.
Objective To examine variations in the care received by a national sample representative of the adult US population infected with HIV.
Design Cohort study that consisted of 3 interviews from January 1996 to January 1998 conducted by the HIV Cost and Services Utilization Consortium.
Patients and Setting Multistage probability sample of 2864 respondents (68% of those targeted for sampling), who represent the 231 400 persons at least 18 years old, with known HIV infection receiving medical care in the 48 contiguous United States in early 1996 in facilities other than emergency departments, the military, or prisons.
The first follow-up consisted of 2466 respondents and the second had 2267 (65% of all surviving sampled subjects).
Main Outcome Measures Service utilization (<2 ambulatory visits, at least 1 emergency department visit that did not lead to hospitalization, at least 1 hospitalization) and medication utilization (receipt of antiretroviral therapy and prophylaxis against Pneumocystis carinii pneumonia).
Results Inadequate HIV care was commonly reported at the time of interviews conducted from early 1996 to early 1997 but declined to varying degrees by late 1997. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Etude cohorte, Soin intégré, Entretien, Etude comparative, Variation, Enquête socioéconomique, Analyse statistique, Analyse coût, Utilisation, Homme, Etats Unis, Amérique du Nord, Amérique, Article synthèse, Immunopathologie, Immunodéficit, Organisation santé, Economie santé
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Cohort study, Managed care, Interview, Comparative study, Variations, Socioeconomic inquiry, Statistical analysis, Cost analysis, Use, Human, United States, North America, America, Review, Immunopathology, Immune deficiency, Public health organization, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0365353
Code Inist : 002B05C02D. Création : 14/12/1999.