Access to Community-Based Medical Services and Number of Hospitalizations Among Patients with HIV Disease

Are They Related?

Published in: Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, v. 13, no. 4, Dec. 1, 1996, p. 327-335

Posted on RAND.org on January 01, 1996

by William Cunningham, David M. Mosen, Ron D. Hays, Ronald Andersen, Martin F. Shapiro

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The authors studied 217 patients interviewed while hospitalized at seven Southern California hospitals for CD4 counts and illness severity. About one-half of patients reported that medical services were readily accessible. Medical records revealed that since the onset of HIV infection, 49% had two or more total hospitalizations. In multiple regression analysis, better reported access to services was significantly associated with not having been hospitalized (vs. having been hospitalized) over the same time period, controlling for many measures of illness, insurance, and other characteristics. Improving access to community-based medical services for ambulatory HIV-infected patients may help avert costly hospital care, but prospective studies are needed to verify this.

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