农村地区艾滋病毒呈阳性的药物滥用者的医疗服务：一项创新计划。

Health care services for HIV-positive substance abusers in a rural setting: an innovative program.

作者信息

Wood Starr A

机构信息

School of Social Welfare, State University of New York at Albany, Albany, New York 12222, USA.

出版信息

Soc Work Health Care. 2008;47(2):108-21. doi: 10.1080/00981380801970202.

DOI:10.1080/00981380801970202

PMID:18956503

Abstract

Agencies that deliver health care services to HIV-positive substance abusers living in rural areas of the United States face particular treatment challenges and barriers to care. Rural consumers of HIV/AIDS health care-related services identified long travel distances to medical facilities, lack of transportation, lack of availability of HIV-specific medical personnel, a shortage of mental health and substance abuse services, community stigma, and financial problems as leading barriers to access to care. This article discusses barriers to care for rural HIV-positive substance abusers, and challenges for rural health care providers. In addition, it presents a case study of Health Services Center, a model program that has devised innovative practices in the delivery of health care services to HIV-positive substance abusers in rural northeastern Alabama.

摘要

为居住在美国农村地区的艾滋病毒呈阳性的药物滥用者提供医疗服务的机构面临着特殊的治疗挑战和护理障碍。艾滋病毒/艾滋病医疗相关服务的农村消费者认为，前往医疗设施的路途遥远、缺乏交通工具、缺乏专门治疗艾滋病毒的医务人员、心理健康和药物滥用服务短缺、社区污名化以及经济问题是获得护理的主要障碍。本文讨论了农村艾滋病毒呈阳性的药物滥用者获得护理的障碍以及农村医疗服务提供者面临的挑战。此外，本文还介绍了健康服务中心的案例研究，这是一个模范项目，该项目在为阿拉巴马州东北部农村地区的艾滋病毒呈阳性的药物滥用者提供医疗服务方面设计了创新做法。