Receipt of recommended medical care in HIV-infected and at-risk persons.
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.
Marx
R
R
AIDS Office, Department of Public Health, San Francisco, California 94102-6033, USA.
Katz
M H
MH
Barreto
A I
AI
Park
M S
MS
Black
T
T
Welch
M
M
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