Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2004 Dec;11(12):765-774
Quality of HIV care within the veterans affairs health system: a comparison using outcomes from the HIV cost and services utilization study
Korthuis PT, Anaya HD, Bozzette SA, Brinkerhoff C, Mancewicz M, Wang M, Asch SM

Objectives: To assess the quality of care HIV-infected veterans receive through the Veterans Affairs (VA) health care system. Design: Cross-sectional analysis of 2 cohort studies using medical record review. Setting and participants: 3840 HIV-infected veterans receiving medical care in 2001 and 2002 at 16 VA facilities and 1874 participants in the HIV Cost and Services Utilization Study (HCSUS). Main outcome measures: Quality indicators were measured as the percentage of eligible persons receiving highly active antiretroviral therapy (HAART); prophylaxis for Pneumocystis carinii pneumonia (PCP) and Mycobacterium avium complex (MAC); and screening for syphilis, toxoplasmosis, hepatitis A, B, and C infection, and dyslipidemia. Results: 78% of eligible veterans received HAART, 65% received prophylaxis for PCP, and 99% received prophylaxis for MAC. Eligible veterans were screened for toxoplasmosis (44%), syphilis (74%), hepatitis A (55%), B (67%), and C (75%), and dyslipidemia (67%). In adjusted models, persons with intravenous drug use had lower odds of receiving HAART (odds ratio [OR], 0.61 [95% confidence interval {CI}, 0.430.87]) than men who have sex with men. Veterans with fewer than 3 visits had lower odds of receiving HAART (OR, 0.08 [95% CI, 0.030.20]) and PCP prophylaxis (OR, 0.22 [95% CI, 0.110.44). Compared to HCSUS, the VA facilities delivered indicated care in 4 of 5 indicators common to both data sets at a higher rate. Conclusions: Quality of care for HIV-infected veterans was similar to national benchmarks, although a need for improvement was clear in both samples. Interventions to close gaps in quality of HIV care are indicated, particularly for persons with intravenous drug use and those with less than 3 visits per year.

Article

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw