University of Texas School of Biomedical Informatics, University of Texas Health Science Center at Houston, 7000 Fannin, Houston, Ste 600, TX 77030, USA.
J Natl Med Assoc. 2010 Dec;102(12):1116-22. doi: 10.1016/s0027-9684(15)33401-5.
Information technologies are employed to evaluate health program and better target recruitment of health care workforce for underserved communities, where needs for providers are greatest. With increased resources in reducing human immunodeficiency virus (HIV)/AIDS disparities and provider training, it may be important to know whether training is delivered in geographic areas where HIV/AIDS demonstrates high prevalence. The present study employs an informatics approach to identifying effectiveness of AIDS educational intervention in minority populations adversely affected by the disease. We seek to assess the National Minority AIDS Education and Training Center (NMAETC) on whether training activities are delivered appropriately in areas with high AIDS prevalence.
A geographic information systems application was developed to relate NMAETC provider training activities to its spatial relationship of AIDS prevalence of 4 major US racial/ethnic groups (fiscal years 2005-2006). Trainees' locations were geocoded by zip code. We overlaid AIDS prevalence of major demographic communities by state with the US Census region and division boundaries to visually inspect the patterns of distribution and potential spatial association.
NMAETC training better targeted providers in 3 US Census regions and census divisions. The regions with higher provider training level generally corresponded to geographic areas with high AIDS prevalence for some minority populations. Additional efforts could be extended to recruit providers in the areas where the incidences were high for some communities.
Most NMAETC provider training activities occurred in the states with a high AIDS prevalence. Additional efforts could be extended to recruit the providers in those regions where HIV/AIDS are more prevalent for some minority populations.
信息技术被用于评估卫生计划,并更好地针对服务不足社区的卫生保健劳动力进行招聘,这些社区对提供者的需求最大。随着减少人类免疫缺陷病毒(HIV)/艾滋病差距和提供者培训的资源增加,了解培训是否在 HIV/AIDS 流行率高的地区进行可能很重要。本研究采用信息学方法来确定针对受该疾病影响的少数族裔人口的艾滋病教育干预措施的有效性。我们试图评估国家少数民族艾滋病教育和培训中心(NMAETC),以了解其培训活动是否在艾滋病流行率高的地区得到适当提供。
开发了一个地理信息系统应用程序,将 NMAETC 提供者培训活动与其 4 个主要美国种族/族裔群体的艾滋病流行率的空间关系联系起来(2005-2006 财政年度)。培训人员的位置按邮政编码进行地理编码。我们根据州的主要人口群体的艾滋病流行率,用美国人口普查区域和分区边界覆盖,以直观检查分布模式和潜在的空间关联。
NMAETC 培训更好地针对美国 3 个人口普查区域和普查分区的提供者。提供者培训水平较高的地区通常与某些少数族裔人群的高艾滋病流行地区相对应。可以在发病率较高的地区为某些社区招聘更多的提供者。
大多数 NMAETC 提供者培训活动发生在艾滋病流行率较高的州。可以在 HIV/AIDS 对某些少数族裔人群更为普遍的地区扩大招聘提供者的努力。