title: Analysis of a population-based Pneumocystis carinii pneumonia index as an outcome measure of access and quality of care for the treatment of HIV disease.
abstract: OBJECTIVE
  A population-based Pneumocystis carinii pneumonia (PCP) Index was developed in New York City to identify geographic areas and subpopulations at increased risk for PCP.
  
  
  METHODS
  A zip code-level PCP Index was created from AIDS surveillance and hospital discharge records and defined as (number of PCP-related hospitalizations)/(number of persons living with AIDS).
  
  
  RESULTS
  In 1997, there were 2262 hospitalizations for PCP among 39 740 persons living with AIDS in New York City (PCP Index =.05691). PCP Index values varied widely across neighborhoods with high AIDS prevalence (West Village =.02532 vs Central Harlem =.08696). Some neighborhoods with moderate AIDS prevalence had strikingly high rates (Staten Island =.14035; northern Manhattan =.08756).
  
  
  CONCLUSIONS
  The PCP Index highlights communities in particular need of public health interventions to improve HIV-related service delivery.
authors.affiliation: Dept. of Epidemiology and Soicial Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, 111 E 210 Street, Bronx, NY 10467, USA. parno@montefiore.org
authors.forename: Peter S
authors.initials: PS
authors.lastname: Arno
authors.forename: Marc N
authors.initials: MN
authors.lastname: Gourevitch
authors.forename: Ernest
authors.initials: E
authors.lastname: Drucker
authors.forename: Jing
authors.initials: J
authors.lastname: Fang
authors.forename: Clara
authors.initials: C
authors.lastname: Goldberg
authors.forename: Margaret
authors.initials: M
authors.lastname: Memmott
authors.forename: Karen
authors.initials: K
authors.lastname: Bonuck
authors.forename: Nandini
authors.initials: N
authors.lastname: Deb
authors.forename: Ellie
authors.initials: E
authors.lastname: Schoenbaum
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000453:epidemiology* / Q000517:prevention & control; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D005843:Geography; D006297:Health Services Accessibility / Q000592:standards*; D006305:Health Status Indicators; D006801:Humans; D009519:New York City / Q000453:epidemiology; D017063:Outcome Assessment, Health Care / Q000379:methods; D010351:Patient Discharge; D011020:Pneumonia, Pneumocystis / Q000150:complications / Q000453:epidemiology* / Q000517:prevention & control; D011159:Population Surveillance; D011177:Postal Service; D019984:Quality Indicators, Health Care; D018570:Risk Assessment; D012984:Software