Cover: Access to Medical Care and Health-Related Quality of Life for Low-Income Persons with Symptomatic Human Immunodeficiency Virus

Access to Medical Care and Health-Related Quality of Life for Low-Income Persons with Symptomatic Human Immunodeficiency Virus

Published In: Medical Care, v. 33, no. 7, July 1995, p. 739-754

by William Cunningham, Ron D. Hays, K. W Williams, C. Keith Beck, Wilfrid Joseph Dixon, Martin F. Shapiro

Read More

Access further information on this document at www.jstor.org

This article was published outside of RAND. The full text of the article can be found at the link above.

Abstract

The authors conducted a cross-sectional study among 205 low- income HIV-infected symptomatic persons in order to assess the association between accessibility of medical care and HRQOL for persons with HIV disease. Access problems were widespread: 55 percent of the patients traveled longer than 30 minutes to their usual source of care, 49 percent had problems meeting the costs of their care, and 48 percent had problems with clinic hours. Uninsured patients reported worse access (especially in the cost of care) than those with Medicaid or VA insurance. Adjusted HRQOL scores were far lower than those of subjects in a large, national AIDS clinical trial. Worse perceived access was significantly associated with poorer HRQOL for 8 of the 11 HRQOL subscales, even after controlling for relevant variables. If confirmed in a longitudinal study, these will represent important findings relative to access and HRQOL in patients with HIV infection.

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.