Résumé :
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[BDSP. Notice produite par INIST-CNRS pggl3R0x. Diffusion soumise à autorisation]. Marginalized populations are disproportionately affected by HIV, yet they have poor access to health services. Outreach programs focus on improving access, but few are evaluated. We assessed a medical outreach program targeting unstably housed, HIV-infected individuals. We extracted data from 2003-2005 to examine whether keeping medical appointments was associated with patient and program characteristics. Patients kept appointments more frequently when they were walk-in or same-day appointments (compared with future appointments ; adjusted odds ratio [AOR]=1.69 : 95% confidence interval [Cl]=1.38,2.08), when they were at a community-based organization's drop-in center (compared with single-room occupancy hotels ; AOR=2.50 ; 95% Cl=1.54,4.17), or when made by nonmedical providers (compared with medical providers ; future appointments : AOR=1.38 ; 95% Cl=1.05,1.80 ; same-day appointments : AOR=1.70 ; 95% Cl=1.03,2.81). These findings demonstrate the importance of program-related characteristics in health services delivery to marginalized populations.
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