Nguyen Trang Quyen, Whetten Kathryn
Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA.
Public Health Rep. 2003 Jan-Feb;118(1):3-9. doi: 10.1093/phr/118.1.3.
As the HIV epidemic has changed nationally, the parallel change in the Southern states has been a disproportionate increase in HIV infection among people of color and among women. Due to the limited and disjointed health care and social service resources in rural Southern regions, already marginalized groups have difficulty in accessing appropriate care and services to address their HIV infection seamlessly and with continuity. To ameliorate the limitations in the health care infrastructure, the North Carolina Services Integration Project collaborated with North Carolina medical and social service providers and state agencies to create a sustainable and replicable model of integrated care for HIV-positive, geographically dispersed residents.
随着全国范围内的艾滋病疫情发生变化，美国南部各州的类似变化是有色人种和女性中的艾滋病毒感染率不成比例地上升。由于美国南部农村地区的医疗保健和社会服务资源有限且分散，已经处于边缘地位的群体难以获得适当的护理和服务，以便无缝且持续地应对他们的艾滋病毒感染。为了改善医疗保健基础设施的局限性，北卡罗来纳州服务整合项目与北卡罗来纳州的医疗和社会服务提供者以及州机构合作，为地理位置分散的艾滋病毒呈阳性居民创建了一个可持续且可复制的综合护理模式。
