AEGiS-14IAC: Trends in service utilization for HIV-infected women and children in New York City 1996-2001.

14th International AIDS Conference


Barcelona, Spain - July 7-12, 2002

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Trends in service utilization for HIV-infected women and children in New York City 1996-2001.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. C10703)

Greene D, Millery M, Nishi EA, Peters A, VanDevanter NL; Mailman School of Public Health, Columbia University, New York, United States

BACKGROUND: The 1990s have been a very dynamic period in HIV care in the West. The advent of AZT to reduce perinatal transmission, protease inhibitors to control disease progression, and establishment of comprehensive systems of care to provide both medical and social services have had a dramatic effect on the lives of people living with HIV/AIDS.

METHODS: Service utilization data for HIV-positive women and children receiving comprehensive care from a 5 member consortium of hospitals and a university serving 1600 women, children, youth and families per year in New York City was reviewed for the period of 1996-2001.

RESULTS: An 80% reduction in the number of clients hospitalized and the total number of hospital admissions was seen between 1996 and 2000 (2001 data will be available in March). Participation in clinical trials and other research protocols dropped approximately 30%, and the rate of new enrollments into research decreased substantially. Participation in outpatient care and supportive services did not change as dramatically. Many new types of supportive services were added to the model of comprehensive care over time.

CONCLUSIONS: An effective model of comprehensive care needs to be able to evolve over time. Improved medical treatments and increased access to these treatments have reduced the need for inpatient care. Clients' interest in participating in research seems to have decreased as experimental treatments became the standard of care and innovative treatments were not on the horizon. The need for outpatient care and a wide range of supportive services remains high.

Keywords: AEGIS, HIV Infections, Acquired Immunodeficiency Syndrome, HIV Seropositivity, New York City, Health Services Needs and Demand, Social Welfare, Adolescent Health Services, Child, Adult, Human, Adolescent, Female, trends, utilizationKWDaegis,hivinfections,acquiredimmunodeficiencysyndrome,hivseropositivity,newyorkcity,healthservicesneedsanddemand,socialwelfare,adolescenthealthservices,child,adult,human,adolescent,female,trends,utilization

020707
C10703

Copyright © 2002 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.