Analysis of a population-based Pneumocystis carini pneumonia index as an outcome measure of access and quality of care for the treatment of HIV disease

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.