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1994-10-24
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Document 1805
DOCN M94A1805
TI The health care delivery system for HIV/AIDS patients in Italy: a
nationwide survey.
DT 9412
AU Guzzanti E; Arici C; Ippolito G; Mastrilli F; Rizzi M; Scheggi M; Center
for Health Care for HIV Infected Patients, National; Commission on
AIDS-Rome, Italy.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):447 (abstract no. PD0398). Unique
Identifier : AIDSLINE ICA10/94370770
AB OBJECTIVE: To evaluate the health care delivery system and pattern of
use of in- and out patient hospitalization for HIV/AIDS patients in
Italy. METHODS: A one day cross-sectional study was conducted in the
autumn of 1992. Data about type of structure, staffing, organization,
case of AIDS notified, patient with HIV infection (PwH) cared for were
collected. SETTING: One hundred eight out of 147 departments for
infectious diseases who notified about 88% of all italian AIDS cases. In
Italy infectious diseases departments are identified as almost exclusive
units for PwH. RESULTS: The day of the survey a total of 1759 patients
attended to out-patient clinics and 1655 in-patients were recorded. More
than 50% of patients cared for were HIV positive. Out of 613 AIDS
patients, 13.5% had no previous knowledge of their HIV infection befor
hospital admission, while 63% had been diagnosed as infected more than 2
years before admission. Twenty-five percent of PwH were receiving an
antiviral treatment and 5% out of in-patients had tuberculosis. The
analysis by severity of in-patients showed that 15% had a severe
compromission of brain function and about 7% of them were in a quite
vegetative life. About a quarter of in-patients had a Karnofsky score
less than 40. CONCLUSIONS: The italian model for providing care for PwH
is effective in spite of the shortage in bed, but need an improvement in
terms of number and quality of hospital-bed and comprehensive services
for home and long-term care.
DE Acquired Immunodeficiency Syndrome/THERAPY *Delivery of Health
Care/ORGANIZATION & ADMIN Human HIV Infections/*THERAPY Italy
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).