| Titre : | Variations in the care of HIV-infected adults in the United States : Results from the HIV Cost and Services Utilization study. (1999) |
| Auteurs : | M.F. SHAPIRO ; L.A. ATHEY ; S.H. BERRY ; S.A. BOZZETTE ; J.A. FLEISHMAN ; D.P. GOLDMAN ; J.W. KEESEY ; D.F. MCCAFFREY ; S.C. MORTON ; J.F. PERLMAN ; J.W. SENTERFITT ; Rand Program. Santa Monica. CA. USA ; Survey Research Group. Santa Monica. CA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 281, n° 24, 1999) |
| Pagination : | 2305-2315 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Soins intégrés ; Entretien ; Etude comparée ; Utilisation ; Homme ; Etats Unis ; Amérique ; Immunopathologie ; Economie santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xp5prP. Diffusion soumise à autorisation]. 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. (...) |
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