Who’s In and Who’s Out
Use of Primary Medical Care Among People Living With HIV
Bibliographic Data
Objectives. We sought to achieve a more comprehensive picture of access to medical care for the treatment of HIV (HIV primary care) by combining evidence of medical services used (health utilization) and epidemiological client-level data. Methods. This study integrated health information from several data sources to measure utilization of HIV primary care in the St Louis, Mo, area between 1998 and 2002. Data from disparate HIV health utilization databases were combined with data from the Missouri HIV and AIDS Reporting System database and then deidentified to measure client-level utilization of HIV primary care over time. Results. About half of those with HIV showed evidence of having utilized HIV primary care in a given year. Although most of this group utilized HIV primary care in the first year after they received their HIV diagnosis, evidence of subsequent utilization was inconsistent. Utilization of primary care was most strongly associated with an AIDS diagnosis. About one quarter of people diagnosed with HIV after 1997 had an AIDS diagnosis when they first tested positive for HIV. Conclusions. This study was the first of its kind to integrate several databases to understand HIV primary health care utilization over a period of years. Our findings reinforce the importance of CD4 and viral load values as indicators of utilization of HIV primary health care, particularly in the absence of other health data sets. The lack of available data and the way in which source data were available limited the study
Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Primary care · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Gerontology
Housing Need, Housing Assistance, and Connection to HIV Medical Care
Delayed entry into HIV medical care after HIV diagnosis
Measurement of retention in care among adults infected with HIV in an urban clinic
Assessing HIV care and unmet need
Conspiracy Beliefs Are Not Necessarily a Barrier to Engagement in HIV Care Among Urban, Low-Income People of Color Living with HIV
Associations between HIV-positive individuals' receipt of ancillary services and medical care receipt and retention
Background for the studies on ancillary services and primary care use
Association of ancillary services with primary care utilization and retention for patients with HIV/Aids
Recipients in need of ancillary services and their receipt of HIV medical care in California
| Citations per year | 0.26 |
|---|---|
| Citation span | 2007 - 2018 (12) |
| Highly cited | No |