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+4 Fogarty TE, Gentry D, Lehrman SE : Defining the chal- lenges of providing long-term care : The case of the nursing home industry’s response to the AIDS epidemic.
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04 Malcolm A, Aggleton P, Bronfman M, Glvao J, Mane P, Verrall J : HIV-related stigmatization and discrimina- tion : its forms and contexts. Critical Public Health 2 (.) :-.1ῌ-1*,+332.
14 Marder R, Link NL : Addressing AIDS long-term care issues through education and advocacy. Health & Social Work,*(+) :1/ῌ2*,+33/.
24 Strug DL, Grube BL, Beckerman NL : Challenges and changing roles in HIV/AIDS social work : Implications for training and education. Social Work in Health Care -/(.) :+ῌ+3,,**,.
, 2+ 4 +1+
Research on Support System to Persons with HIV/AIDS Needing Long-term Care
Kahoru K
ONISHI+῍, Masako I
SHIKAWA,῍, Emiko K
IKUCHI-῍and Kinue K
UZUTA.῍+῍School of Sociology and Social Work, Kwansei Gakuin University
,῍Department of Health and Welfare, Chiba Prefecture Government
-῍National Nagoya Medical Center, Japanese Foundation for AIDS Prevention
.῍Department of Welfare and Medical Intelligence, Chiba University Hospital
Objective: HIV medical care has advanced. Meanwhile, the number of persons with HIV who continue to stay in the hospital even they no longer need hospitalized medical care (long-term inpatients) is increasing gradually. Their immune systems are stabilized, howev- er, it is di$cult for them to live at home due to persisting disabilities such as physical disability, mental deficiency, dementia caused by PML, HIV encephalopathy, and cerebral infarction. The purpose of this study is to examine the necessity of medical care and a welfare environment through investigating actual conditions and background factors of long-term inpatients at AIDS core hospitals.
Methods: In ,**., questionnaires were distributed to AIDS core hospitals. Questions about experience, number, and outcome of long-term inpatient cases were included in the questionnaire. In,**/, another questionnaire survey was conducted targeting hospitals with consent. Period of hospitalization and number of days extended care were asked about.
Semi-structured interviews about the background of cases were also conducted of sta#mem- bers in1hospitals.
Results: It was found in the,**.survey that/,hospitals, out of,,+AIDS core hospitals responding to the questionnaire, experienced+-+cases. In the,**/study, it was found that out of2,cases of-,hospitals,02cases extended the hospitalization, and average number of months was3.+. Factors that cause long-term hospitalization were medical factors, medical institutional problems, patients and family, and systematic issues. Factors that prevent long-term hospitalization were a reliable medical care system, a substantial network, existence of a coordinator, leadership of the top position, etc.
Conclusion: The study showed the need for appropriate medical care security in accord- ance with HIV medical advancement, and development of a community care system to sup- port the patient’s life.
Key words: persons with HIV, long-term hospitalization, background factors, support system
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