Document Detail


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.
MedLine Citation:
PMID:  11867318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: 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:
Peter S Arno; Marc N Gourevitch; Ernest Drucker; Jing Fang; Clara Goldberg; Margaret Memmott; Karen Bonuck; Nandini Deb; Ellie Schoenbaum
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  92     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-02-27     Completed Date:  2002-03-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  395-8     Citation Subset:  AIM; IM    
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
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / complications,  epidemiology*,  prevention & control
Antibiotic Prophylaxis / utilization*
Geography
Health Services Accessibility / standards*
Health Status Indicators*
Humans
New York City / epidemiology
Outcome Assessment (Health Care) / methods
Patient Discharge
Pneumonia, Pneumocystis / complications,  epidemiology*,  prevention & control
Population Surveillance
Postal Service
Quality Indicators, Health Care*
Risk Assessment
Software
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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