Medical and support service utilization in a medical program targeting marginalized HIV-infected individuals

Chinazo O. Cunningham, John Sanchez, Xuan Li, Daliah Heller, Nancy L. Sohler

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background. One strategy to facilitate HIV health care services utilization is to incorporate support services with medical services. We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization. Methods. We extracted data on 218 newly enrolled program participants 3 months prior to through 6 months after program enrollment, and analyzed associations between support and medical services. Results. Case management visits (AOR= 1.95, 95% CI 1.04-3.67) and group visits (AOR=2.59, 95% CI 1.30-5.16) were associated with greater odds of quarterly medical visits. Outreach visits were associated with greater odds of having a medical visit in a traditional medical setting (AOR=2.31, 95% CI 1.15-4.67). Conclusion. Case management, support groups, and outreach were associated with HIV medical visits. Further research exploring how integration of support services into HIV medical programs can improve health care delivery is crucial for health policy and program development.

Original languageEnglish (US)
Pages (from-to)981-990
Number of pages10
JournalJournal of health care for the poor and underserved
Volume19
Issue number3
DOIs
StatePublished - Aug 1 2008

Fingerprint

HIV
Case Management
Patient Acceptance of Health Care
Program Development
Self-Help Groups
Policy Making
Health Policy
Health Services
Delivery of Health Care
Research

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Case management
  • HIV
  • Health services utilization
  • Outreach
  • Support groups
  • Support services
  • Vulnerable population

Cite this

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abstract = "Background. One strategy to facilitate HIV health care services utilization is to incorporate support services with medical services. We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization. Methods. We extracted data on 218 newly enrolled program participants 3 months prior to through 6 months after program enrollment, and analyzed associations between support and medical services. Results. Case management visits (AOR= 1.95, 95{\%} CI 1.04-3.67) and group visits (AOR=2.59, 95{\%} CI 1.30-5.16) were associated with greater odds of quarterly medical visits. Outreach visits were associated with greater odds of having a medical visit in a traditional medical setting (AOR=2.31, 95{\%} CI 1.15-4.67). Conclusion. Case management, support groups, and outreach were associated with HIV medical visits. Further research exploring how integration of support services into HIV medical programs can improve health care delivery is crucial for health policy and program development.",
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Medical and support service utilization in a medical program targeting marginalized HIV-infected individuals. / Cunningham, Chinazo O.; Sanchez, John; Li, Xuan; Heller, Daliah; Sohler, Nancy L.

In: Journal of health care for the poor and underserved, Vol. 19, No. 3, 01.08.2008, p. 981-990.

Research output: Contribution to journalArticle

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