Abstracts from the American Public Health Association 124th Annual
Meeting,
November 1996
A Needs Assessment of Health and Social Service
Providers in the Fields of Youth and HIV
Adolescents and young adults ages 12-24 are at high risk of HIV infection
and other morbidities, but age-appropriate HIV prevention and care services
are lacking.
A Survey of Women with HIV about Their Desires for
Care
Women comprise the fastest growing group to be infected with HIV. It is
important to understand what women with HIV want in their health services.
Abnormal Pap Smears are Common in Women with HIV and
Better Measures are Needed to Enhance Compliance with Colposcopy
Women with HIV have an increased risk of
cervical invasive neoplasia (CIN). To determine the effectiveness of Pap smear screening
and follow-up of atypical squamous cells of undetermined significance (ASCUS) and CIN with
colposcopy, we reviewed the results among our practice.
Addressing the Neuropsychiatric Management of HIV/AIDS
Patients with Delirium
The University of Washington Department of
Psychiatry and NW Education and Training Center has developed a project to
enhance the delivery of psychiatric services to HIV infected clients and to
increase the knowledge and perceived ability of providers and families to
identify and access care for HIV/AIDS associated delirium and other neuropsychiatric
illnesses.
Developing Information Systems That Support the
Delivery of HIV Care in a Managed Care Environment
A range of data is required in order to deliver
HIV care in a managed care system. Accurate information concerning service
utilization and cost of care for persons with HIV/AIDS at different points
in the course of their illness is used to perform rate calculation and
appropriate risk adjustment.
Development of Parallel Case Histories to Measure
HIV/AIDS Knowledge and Ability
An innovative feature of the Mountain-Plains
Regional AIDS ETC's Special
Project of National Significance (SPNS) is the use of case histories as
impact evaluations. Rather than simply testing increase in knowledge, this
project seeks to determine if providers can apply that knowledge to actual
HIV-related care situations.
Educating Rural Providers to Improve HIV Prevention,
Health Promotion and Early Intervention Service: A Comparative Study of Three Educational
Methodologies
Rural health care providers have the opportunity
to impact the epidemic through targeted prevention, health promotion and
early intervention activities for at-risk and HIV-infected individuals.
Fighting for our Lives: Women of Color Confronting
HIV/AIDS Building a Prevention Agenda
In 1996, women remain the fastest growing group
of people with AIDS, and women of color have been most affected. Yet,
women's needs for care as well as prevention are not adequately addressed.
The best hope for stemming the rapid spread of HIV disease among women in
the near future is prevention.
HIV Managed Care Through a Community-Based System of
Care: The AIDS Healthcare Foundation of Los Angeles
AIDS Healthcare Foundation (AHF)
is the largest community-based provider of HIV care in America. On April 1, 1995, AHF
began the first comprehensive managed care program for people with HIV/AIDS
in the United States.
HIV Managed Care Through a Hospital-Based System
of Care: The Johns Hopkins HIV Care Program
The Hopkins HIV Care Program provides HIV
primary care to approximately 2,600 patients. In 1994, John Hopkins
University received an award from the Health Resources and Services
Administration through the Special Projects of National Significance to
evaluate the ethics, cost and quality of the managed care system
administered through the Hopkins HIV Care Program.
HIV Primary Care and Computer-Based Distance
Learning for Community Health Centers in Rural Mississippi
The incidence of HIV infection of Mississippi is
highest among African-Americans and the uninsured. Rural community health
center (CHC) clinics in Mississippi provide primary health care to a large
proportion of this segment of the state's population, but are ill-prepared
to test, counsel, and treat persons at risk for infection with HIV.
HIV Special Needs Plan
Development
The AIDS Institute and Office of Managed Care of
the New York State Department of Health awards $2 Million dollars in grants
to 18 health care organizations for the development of planning models for
HIV Special Needs Managed Care Plans.
Incorporation of an HIV Service Delivery System for
Women into the Goals of a Medical School
A comprehensive care program for HIV-infected
women was implemented in 1994-95 through two HRSA-sponsored grants.
Issues Regarding HIV
Education, Counseling and Testing by Consent to Women of Reproductive Age in
Chicago
Despite the recommendations from the Centers for
Disease Control and Prevention (CDC) regarding the importance of HIV
education, counseling, and testing for all women of reproductive age,
especially pregnant women, a significant number of prenatal providers are
not offering these services.
Metro DC Collaborative for Women with HIV/AIDS–an
Infrastructure Change Model for Improving the Delivery of Services for Women with
HIV
This paper will present findings from action
research carried out during the first two years' implementation and process
evaluation of a national demonstration project designed to ameliorate
organizational barriers to care for HIV-infected women.
Metro DC Collaborative for Women with HIV–Reduction
of Organizational Barriers to Care for HIV-Infected Women
The Center for Women Policy Studies (CWPS), in
collaboration with PROTOTYPES, A Center for Innovation in Health, Mental
Health and Social Services, has developed a model for organizational
collaboration and policy development to reduce cultural, linguistic, and
organizational barriers to care for HIV infected women who are underserved
and experiencing significant barriers to care.
'Safe Place' - Expanding the Enrollment and Enhancing
Retention of African American HIV-Infected Substance Abusers into Primary
Care
Outreach, Inc. is utilizing a peer counselor and
street team model for services delivery using indigenous staff to enroll and
enhance the retention of HIV-infected substance abusers.
Training Providers and Families to Recognize and
Manage Delirium in HIV/AIDS Patients
The purpose of this presentation is to increase
understanding of delirium in the setting of HIV/AIDS. Delirium is a common,
yet frequently misdiagnosed and mismanaged condition.
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