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Prevalence and predictors of unmet need for supportive services among HIV-infected persons: impact of case management.

Abstract：

BACKGROUND:Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES:To assess the prevalence of need and unmet need for supportive services and the impact of case managers on unmet need among HIV-infected persons. RESEARCH DESIGN:National probability sample. PARTICIPANTS:A total of 2,832 HIV-infected adults receiving care. MEASURES:Need and unmet need for benefits advocacy, housing, home health, emotional counseling, and substance abuse treatment services. RESULTS:Sixty-seven percent of the sample had a need for at least one supportive service, and 26.6% had an unmet need for at least one service in the previous 6 months. Contingent unmet need (unmet need among persons who needed the service) was greatest for benefits advocacy (34.6%) and substance abuse treatment (27.6%). Fifty-seven percent of the sample had had contact with their case manager in the previous 6 months. In multiple logistic regression analysis, with adjustment for covariates, having a case manager was associated with decreased unmet need for home healthcare (OR =0.39; 95% CI = 0.25-0.60), emotional counseling (OR = 0.54; 95% CI = 0.38-0.78), and any unmet need (OR = 0.70; 95% CI = 0.54-0.91). An increased number of contacts with a case manager was significantly associated with lower unmet need for home health care, emotional counseling, and any unmet need. CONCLUSIONS:Need and unmet need for supportive services among HIV-infected persons is high. Case management programs appear to lower unmet need for supportive services.

journal_name

Med Care

journal_title

Medical care

authors

Katz MH,Cunningham WE,Mor V,Andersen RM,Kellogg T,Zierler S,Crystal SC,Stein MD,Cylar K,Bozzette SA,Shapiro MF

doi

10.1097/00005650-200001000-00007

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

58-69

issue

1

eissn

0025-7079

issn

1537-1948

journal_volume

38

pub_type

杂志文章

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