Retaining women in HIV medical care

被引：43

作者：

Andersen, Marcia ^{[1
]}

Hockman, Elaine ^{[1
]}

Smereck, Geoffrey ^{[1
]}

Tinsley, Jannie ^{[1
]}

Milfort, Dollie ^{[1
]}

Wilcox, Robert ^{[1
]}

Smith, Teresa ^{[1
]}

Connelly, Christopher ^{[1
]}

Adams, Latonia ^{[1
]}

Thomas, Richard ^{[1
]}

机构：

[1] Well Being Inst, Ann Arbor, MI USA

来源：

JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2007年 / 18卷 / 03期

关键词：

HIV-positive women; ancillary services; heroin; mental illness; retention in medical care;

D O I：

10.1016/j.jana.2007.03.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This study evaluated the effectiveness of an ancillary service assignment protocol to improve women's retention in HIV medical care. HIV-positive women with acknowledged difficulty in keeping regularly scheduled HIV clinic oppointments were assigned to an intervention based on presenting characteristics: 6 months transportation plus nursing case management,followed by 6 months transportation only for women currently using heroin and/or showing mental illness problems or transportation only for 12 months. Self-report and HIV clinic data provided measures of kept and missed appointments. Results if;ere as hypothesized. The Transportation Only sample maintained number of kept appointments and significantly decreased number of missed appointments. The Transportation Plus sample signficantly increased number of appointments kept and significantly decreased number of missed appointments. when intensive intervention was reduced to transportation only, charted HIV medical appointments significantly decreased. Positive influence on retention in HIV medical care requires level of intervention to be determined by; current relevant client characteristics.

引用

页码：33 / 41

页数：9

共 13 条

[1] HIV health care access issues for women living with HIV, mental illness, and substance abuse [J].