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Service use patterns in HIV/AIDS case management: a five-year study

C A Emlet1, S S Gusz

  • 1Solano County Health & Social Services, Fairfield, CA 94533, USA.

Journal of Case Management
|October 9, 1998
PubMed
Summary
This summary is machine-generated.

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The HIV/AIDS epidemic increasingly affects women and individuals with injection drug use histories. Case management clients show a rising need for attendant care, mental health, and skilled nursing services.

Area of Science:

  • Public Health
  • Epidemiology
  • Social Sciences

Background:

  • The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) epidemic's demographic profile has evolved.
  • Risk factors increasingly reported include injection drug use and heterosexual contact.
  • Women represent a growing proportion of those affected by HIV/AIDS.

Purpose of the Study:

  • To analyze trends in the client population of an HIV/AIDS case management program over five years.
  • To identify changes in client demographics and service utilization patterns.

Main Methods:

  • Retrospective analysis of client data from an HIV/AIDS case management program.
  • Tracking client numbers, demographic information (gender, risk factors), and service usage over a 5-year period.

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Main Results:

  • While overall client numbers remained stable, there was a consistent increase in clients with injection drug use histories and female clients.
  • Increased demand and utilization were observed for attendant care, mental health services, and skilled nursing care.
  • Annual mean usage of in-home supportive services and case management hours also increased.

Conclusions:

  • The findings indicate a shift in the HIV/AIDS client population towards individuals with complex social and economic factors.
  • There is a corresponding rise in the need for and use of comprehensive case management services.
  • These trends highlight the evolving needs of individuals managing HIV/AIDS.