title: Receipt of recommended medical care in HIV-infected and at-risk persons.
abstract: The authors evaluated receipt of recommended medical care for 133 HIV-infected and 101 at-risk San Francisco public health clinic patients. Fewer than half the patients received syphilis and tuberculosis screening, hepatitis B immunity testing or vaccination, and tetanus boosters. The HIV-infected persons were significantly (p < or = 0.01) more likely than the at-risk persons to receive preventive care, except for interventions specific to women. More than 80% of the HIV-infected persons received CD4 testing, zidovudine and Pneumocystis carinii pneumonia prophylaxis, and pneumococcal vaccine. Only 40% of the at-risk persons reported having HIV-antibody testing recommended. Interventions to increase care delivery to HIV-infected and at-risk persons are needed.
authors.affiliation: AIDS Office, Department of Public Health, San Francisco, California 94102-6033, USA.
authors.forename: R
authors.initials: R
authors.lastname: Marx
authors.forename: M H
authors.initials: MH
authors.lastname: Katz
authors.forename: A I
authors.initials: AI
authors.lastname: Barreto
authors.forename: M S
authors.initials: MS
authors.lastname: Park
authors.forename: T
authors.initials: T
authors.lastname: Black
authors.forename: M
authors.initials: M
authors.lastname: Welch
mesh_terms: D000328:Adult; D003376:Counseling; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008499:Medical Records; D011314:Preventive Health Services; D012307:Risk Factors; D012495:San Francisco / Q000453:epidemiology