Health insurance and use of medicalservices by men infected with HIV

Article Abstract:

HIV-positive men with private health insurance appear to be more likely to use outpatient treatment services than men without insurance. The use of outpatient services by 178 HIV-positive men was evaluated. Men with private insurance were significantly more likely than men without insurance to have had an outpatient visit during the previous year. There was no significant difference between men who had managed-care plans and those who had fee-for-service plans. Seventy-three percent of the men had used zidovudine. The type of insurance or lack of insurance did not appear to affect zidovudine use. However, there was a difference in the use of prophylactic treatment for Pneumocystis carinii pneumonia (PCP). Those with no insurance were less likely to receive PCP prophylaxis. An additional analysis on the 149 men with private insurance indicated that 21% had avoided using their private insurance for treatment because of fears of loss of confidentiality or loss of insurance.

Health aspects, Care and treatment, Usage, Health insurance, Ambulatory medical care, Ambulatory care

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Meeting the service needs of HIV-infected persons: is the Ryan White CARE Act succeeding?

Article Abstract:

The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act appears to be serving the needs of AIDS patients well, but many patients still have unmet needs. The act was passed in 1990 to provide money to help communities provide housing, food and medical care to AIDS patients. A survey of 1,056 AIDS patients receiving these services in San Francisco revealed that most received adequate health care and food but less than adequate resources in the areas of childcare, home help, transportation, and dental care. Women and minorities did not have more unmet needs than white men.

Services, Medical care, AIDS patients, Medical care needs assessment

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Insurance type and satisfaction with medical care among HIV-infected men

Article Abstract:

HIV patients who can choose the type of insurance they have may be happier under a managed care plan. Researchers measured satisfaction with health care in 593 HIV-infected men. Although men with fee-for-service plans had a better relationship with their physicians, they were less happy about their financial obligations compared to those in a managed care plan. Men in a fee-for-service plan payed higher premiums and higher out-of-pocket expenses than men in a managed care plan. However, both groups were more satisfied with their health care than men who had no insurance.

Psychological aspects, Analysis, Patient satisfaction, Medically uninsured persons, Medical care, Cost of, Health care costs, Insurance

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