Titre :
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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)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 92, n° 3, 2002)
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Pagination :
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395-398
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Langues:
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Anglais
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Mots-clés :
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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
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Résumé :
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[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.
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