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M94A1830.TXT
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1994-10-24
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Document 1830
DOCN M94A1830
TI Ten years of AIDS treatment in a large hospital organisation.
DT 9412
AU Beauiouan L; de Bonnay P; Herson S; Sauvat JF; Vittecoq D; Assistance
Publique-Hopitaux de Paris, Mission SIDA, France.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):441 (abstract no. PD0374). Unique
Identifier : AIDSLINE ICA10/94370745
AB The Assistance Publique-Hopitaux de Paris (AP-HP) is the university
hospital structure for the Paris region (12 million inhabitants) and is,
with 18,000 acute-care beds, the largest hospital organisation in
Europe. The AP-HP treats one third of all HIV+ patients in France and
allocated US $148 million to this effort in 1994. OBJECTIVE: This study
aims to demonstrate how, over the past ten years, the AIDS epidemic has
forced the AP-HP not only to meet quantitative needs in terms of
financial, human and technical resources, but, even more importantly, to
rethink and restructure part of its medical organisation and to change
procedures and methods of organising and providing hospital care.
METHODS: A study of the evolution of the numbers and characteristics of
the patients and, in parallel, of the resources allocated and the
restructuring done makes it possible, using various indicators (e.g.,
percent of patients treated in the different specialised structures) to
illustrate the accommodation of the structures to variations in the
types of patients treated (asymptomatic patients, AIDS sufferers, drug
addicts...). RESULTS: The policies implemented have, to a large extent,
made it possible to meet the requirements of the epidemic and have
substantially enlarged the scope of clinical research. The number of
patients increased by an average of 16% annually between 1988 and 1993.
Whereas in 1988 only 43% of the patients were treated in specialised
units, the proportion had risen to 80% in 1993. Over 1000 kg of AZT and
DDI were dispensed in 1993, compared to 504 kg in 1988. DISCUSSION AND
CONCLUSIONS: Whereas the AIDS epidemic has accelerated structural
changes that leave no part of the organisation untouched, the AP-HP must
continue adapting to developments in the epidemic and especially to the
worsening condition of the PWAs in treatment and to the increasing
numbers of drug-addicted patients.
DE Acquired Immunodeficiency Syndrome/*THERAPY Hospitals,
University/ORGANIZATION & ADMIN/*STATISTICS & NUMER DATA Human Paris
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).