Health services research
-
Health services research · Dec 1994
Multicenter StudyResults of the ACSUS for pediatric AIDS patients: utilization of services, functional status, and social severity.
This study describes demographic characteristics of pediatric AIDS patients, describes hospital and community-based service utilization patterns, and analyzes medical and social support service usage patterns with respect to patient demographic characteristics, clinical trial participation, functional/developmental status, and social environment. ⋯ Data from the first six months of the ACSUS pediatric sample suggest that participation in clinical trials may bring about access to social services that appear to reduce emergency room use. However, the findings reported here are descriptive and exploratory. Further multivariate, nonparametric analyses of the full 18-month provider-patient merged data set are necessary to confirm the simple correlations found in this study.
-
Health services research · Dec 1994
Multicenter StudyCorrelates of medical service utilization among people with HIV infection.
To examine factors affecting the use of inpatient, outpatient, and emergency room services by people with HIV infection. ⋯ While disease stage affects use of medical care, the experience of adverse HIV-related conditions, such as pain or functional limitations, has an additional effect on service use. Persistent racial differences in utilization remain to be explained. Lack of insurance impedes use directly and also modifies the effects of disease stage and functioning.