| Summary: | 碩士 === 國立臺灣大學 === 健康政策與管理研究所 === 103 === Background：
The number of domestic HIV infection increases every year, therefore, the burden of case management and partner services of public health workers increases accordingly. Since the completion rate of partner service needs to be enhanced, Taiwan Centers for Diseases Control commissioned Taiwan AIDS Nurses Association a pilot program “HIV Case Management and Strengthened Partner Service Program” to implemente in New Taipei City during 2013 and 2014. The goal of this pilot program is to construct effective HIV case management model in public health and to enhance the quality of case management. At present, most domestic research only focus on HIV Case Management Program in the designated HIV hospitals, the medical rates and completion rates of partner services of the polit program needs to be further evaluated.
Objectives：
Evaluate the intervention of “HIV Case Management and Strengthened Partner Service Program” on the completion rates of the partner services and rates of seeking medical care in HIV-infected persons.
Methods：
This evaluation research applies a comparison group posttest-only design. This research uses database of “Chronic infectious diseases case management system" as a research tool. Only HIV-infected persons diagnosed during the period from 2011 to 2014 were included in this research. According to year of diagnosis and county of management, we selected two control group: New Taipei Comparision Group and Other Cities and Counties Comparsion Group to compare with Intervention Group. Logistic regression and Cox proportional hazards model analytical methods were conducted to assess the program impact.
Results：
Completion rate of partner service within 4 months is 18.4% in Intervention Group,which is higher than New Taipei Comparision Group (9.5%, p<.0001) and Other City and County Comparsion Group (10.3%, p<.0001). Mutivariate analysis through Logistic regression and Cox proportional hazards model indicated that Intervention Group has higher chance to complete partner service than New Taipei City Comparison Group (OR=2.294, p<.0001; HR=1.625, p<.0001).
Conclusion：
The Intervetion Group has shown significant positive effects on completion rate of partner services after HIV diagnosis. The CBO (Community-Based Organisations) partner service model provided by HIV professional organization could integrate intervention with hospital, local health department and social resources to futher enhance the completion rate of partner services of HIV infected person.
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