PMID: 9436756Jan 22, 1998Paper

Repeated emergency department use by HIV-infected persons: effect of clinic accessibility and expertise in HIV care

Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association
L E MarksonB J Turner

Abstract

Repeated emergency department (ED) visits by HIV-infected persons may signify poor access to care or treatment from inexperienced ambulatory providers. We examined features of 157 clinics following 6820 HIV-infected patients and associations with repeated (> or =2) ED visits by these patients in the year before their first AIDS diagnosis. Patient clinical and health care data came from 1987-1992 New York State (NYS) Medicaid files and clinic data came from interviews of clinic directors. The HIV/AIDS experience of each study patient's clinic was measured as the annual number of Medicaid enrollees newly diagnosed with AIDS who were contemporaneously followed by the patient's clinic. Repeated ED use was observed for 24%. The adjusted odds ratio (AOR) of repeated ED visits was reduced for patients in clinics with a physician on-call (0.77; 95% confidence interval [CI] = 0.65, 0.92), evening or weekend clinic hours (0.77; 95% CI = 0.64, 0.93), or >50 AIDS patients/year in 1987-1988 (0.56; 95% CI = 0.44, 0.71) versus fewer patients in those years. Patients in clinics with more than one feature promoting accessibility or HIV expertise had a greater reduction in their AOR of repeated ED use. HIV-infected patients in clinics with great...Continue Reading

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Citations

Dec 3, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Barbara J TurnerWalter W Hauck
May 25, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Frederick L AlticeGerald H Friedland
May 1, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·John A SchneiderDavid O Meltzer
Dec 17, 2008·AIDS Patient Care and STDs·Baligh R YehiaUNKNOWN HIV Research Network
May 9, 2013·AIDS Patient Care and STDs·Baligh R YehiaKelly A Gebo
Aug 29, 2000·Journal of Acquired Immune Deficiency Syndromes : JAIDS·W D BenthamK A Schulman
Apr 20, 2005·Journal of General Internal Medicine·Kevin C HeslinWilliam E Cunningham
Dec 19, 2000·Journal of General Internal Medicine·A L GiffordD E Kanouse
Jul 18, 2000·American Journal of Public Health·J Levi, J Kates
Nov 23, 2000·Journal of General Internal Medicine·M Y SmithI S Feldman
Feb 20, 2007·Journal of Substance Abuse Treatment·Marc N GourevitchBarbara J Turner
Apr 20, 2004·The Journal of the Association of Nurses in AIDS Care : JANAC·Petra Liljestrand
Jun 6, 2002·Journal of General Internal Medicine·Harold A PollackFrederick L Altice
Oct 12, 2013·AIDS Care·Jelani KerrTerri Stephens
Jul 6, 2016·AIDS Care·Curtis D HandfordRichard H Glazier
Aug 6, 2015·Journal of the International Association of Providers of AIDS Care·Rebeca RamosOralia Loza
Sep 24, 2005·Medical Care Research and Review : MCRR·Kevin C HeslinWilliam E Cunningham
Nov 6, 2003·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Michelle Floris-MooreEllie E Schoenbaum
Jan 30, 2004·AIDS Patient Care and STDs·Joseph J PulvirentiTodd Jezisek
Jul 21, 2006·The Cochrane Database of Systematic Reviews·C D HandfordR H Glazier
Nov 30, 2013·Sexual Health·Kylie-Ann MallittDavid P Wilson
Aug 18, 2005·ANS. Advances in Nursing Science·R Kevin MallinsonAnna Ford
Mar 17, 2016·AIDS Patient Care and STDs·Lana LeeUNKNOWN HIV Research Network

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