Brennan Aline, Morley Deirdre, O'Leary Aisling C, Bergin Colm J, Horgan Mary
Department of Epidemiology and Public Health, University College Cork, Cork, Ireland,
AIDS Behav. 2015 Jan;19(1):104-19. doi: 10.1007/s10461-014-0814-z.
Demands on HIV services are increasing as a consequence of the increased life-expectancy of HIV patients in the highly active antiretroviral therapy era. Understanding the factors that influence utilization of ambulatory HIV services is useful for planning service provision. This study reviewed factors associated with utilization of hospital based HIV out-patient services. Studies reporting person-based utilization rates of HIV-specific outpatient services broken down by patient or healthcare characteristics were eligible for inclusion. The Andersen Behavioral Model was used to organize the information extracted into pre-disposing, enabling and need components. Ten studies were included in the final review. Older age, private insurance, urban residence, lower CD4 counts, a diagnosis of AIDS, or anti-retroviral treatment were associated with higher utilization rates. The results of this review are consistent with existing knowledge regarding HIV patients' use of health services. Little information was identified on the influence of health service characteristics on utilization of out-patient services.
在高效抗逆转录病毒治疗时代，由于艾滋病毒患者预期寿命的增加，对艾滋病毒服务的需求也在不断上升。了解影响艾滋病毒门诊服务利用的因素有助于规划服务提供。本研究回顾了与医院艾滋病毒门诊服务利用相关的因素。报告按患者或医疗保健特征细分的艾滋病毒特定门诊服务基于人的利用率的研究符合纳入条件。采用安德森行为模型将提取的信息组织为 predisposing、enabling 和需求成分。最终综述纳入了 10 项研究。年龄较大、有私人保险、居住在城市、CD4 细胞计数较低、艾滋病诊断或抗逆转录病毒治疗与较高的利用率相关。本综述的结果与关于艾滋病毒患者使用医疗服务的现有知识一致。关于医疗服务特征对门诊服务利用的影响，几乎没有发现相关信息。
