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Managing transitions in cure and care of AIDS-patients.
Schaeffer D; Moers M; Forschungsgruppe Gesundheitsrisiken und
November 30, 1993
Int Conf AIDS. 1993 Jun 6-11;9(2):889 (abstract no. PO-D21-4031). Unique

PROBLEM AND AIM: In the German Health Care System hospitals as well as in- and outpatient physicians and other health care professionals have developed different strategies to assure an integrated and continuous care for AIDS-Patients. Especially they pay attention to create flexible transitions between care-providing institutions and professions. We ask: How efficient are the strategies of people processing and 'transition managing' when patients are discharged from hospital? METHODS: The data-base consists of qualitative interviews with 72 professionals and 20 trajectories of AIDS-patients with several hospital stays. The trajectories have been tracked for several months and the patients have been interviewed several times. RESULTS: Professionals are successful in providing a continuous medical treatment. Their ways of handing over the patients from inpatient- to outpatient-care are important for other chronic diseases. On the other hand will be shown, that there are different and complex problems in providing social and psycho-social services and outpatient nursing care. The networking between the different professional care providers is quite insufficient (just as in the case of other chronic illnesses). This has very problematic effects in the final phase of AIDS, when integrated care providing is absolutely necessary.

*Acquired Immunodeficiency Syndrome/THERAPY *Continuity of Patient Care