| Titre : | Analysis of a population-based Pneumocystis carinii pneumonia index as an outcome measure of access and quality of care for the treatment of HIV disease. (2002) |
| Auteurs : | Peter-S ARNO ; Karen BONUCK ; Nandini DEB ; Ernest DRUCKER ; Clara GOLDBERG ; Marc-N GOUREVITCH ; JING FANG . (.) ; Margaret MEMMOTT ; Ellie SCHOENBAUM ; Montefiore Medical Center. Albert Einstein College of Medicine. Bronx. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 92, n° 3, 2002) |
| Pagination : | 395-398 |
| Langues: | Anglais |
| Mots-clés : | Homme ; Etats Unis ; Amérique ; Pronostic ; Thérapeutique ; Pneumonie ; Champignon ; Thérapeutique médicamenteuse ; Chimiothérapie ; VIH ; Rétrovirus ; Virus ; Sida ; Virose ; Infection ; Qualité ; Soins ; Accès soins ; Appareil respiratoire [pathologie] ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS bR0xqtI2. Diffusion soumise à autorisation]. Objectives. A population-based Pneumocystis carinii pneumonia (PCP) Index was developed in New York City to identify geographic areas and subpopulations at increased risk for PCP. Methods. A zip code-level PCP Index was created from AIDS surveillance and hospital discharge records and defined as (number of PCP-related hospitalizations)/ (number of persons living with AIDS). Results. In 1997, there were 2262 hospitalizations for PCP among 39 740 persons living with AIDS in New York City (PCP Index=05691). PCP Index values varied widely across neighborhoods with high AIDS prevalence (West Village=02532 vs Central Harlem=08696). Some neighborhoods with moderate AIDS prevalence had strikingly high rates (Staten Island=14035 northern Manhattan=08756). Conclusions. The PCP Index highlights communities in particular need of public health interventions to improve HIV-related service delivery. |

