Transitioning From Medicaid Disability Coverage to Long-Term Medicare Coverage: The Case of People Living With HIV/AIDS in California

HIV/AIDS disease is a health problem in indonesia. The problem cause of the number of morbility and mortality that still hight. It is cause of long term infection, adherance consuming the drungs and opportunistic that can deastroy the imun system of People Living With HIV/AIDS (PLHIV). The purpose of this research is to identify the factors related to the people living with PLHIV in Achmad Muchtar Hospital Bukittinggi2016.This research was conducted by a retrospective cohort design approach, doing research of the death of people who living with HIV by observing the patient’s medical record from 2014-2015. The research of study were 215 patient’s who is criteria inclusion. Analysis data using test chi-square. who became the independent variable is long infection, adherance comsuming the Anti Retroviral (ARV) , and opportunistic infection and dependent variable that survive the HIV people life.The research showed that among 215 patients with the number of deaths 39 people ( 18,% ), stages 3 and 4 (>5 th) is 89 people ( 41.4% ), not adherence is 77 people ( 35.8% ), and who suffered an opportunistic infection were 61 people (28.4% ). The statistical test relationships survival of people living with HIV with long-term infection obtained p value = 0,000 and RR = 0,019 ( confidence interfal 95 % with alpha = 0.05 ), adherance comsuming the ARV obtained p value = 0,000 and RR = 0,494 ( confidence interfal 95 % with alpha = 0.05 ), infection opportunistic obtained p value = 0,000 and RR = 0,361 ( confidence interfal 95 % with αlpha = 0.05 ).From these findings, it can be concluded that the long-term infection, adherence ARV and opportunistic infections associated with survival of people living with HIV. Of the three variables obtained interrelated and value the highest association is long-term infection.

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Hope Inspiration among People Living with HIV/AIDS: Theory and Implications for Counselors

Journal of Mental Health Counseling ◽

10.17744/mehc.35.1.5p40002302387401 ◽

2013 ◽

Vol 35 (1) ◽

pp. 60-75 ◽

Cited By ~ 2

Author(s):

Kirk Zinck ◽

John Cutcliffe

Keyword(s):

Grounded Theory ◽

Policy Implications ◽

Stage Theory ◽

People Living With Hiv ◽

Effective Work ◽

The Core ◽

Living With Hiv ◽

Core Variable ◽

Hiv Aids

Despite the dramatic reversal in prognosis for people living long-term with HIV/AIDS (PLWHA), the literature indicates, counter-intuitively, that PLWHA often do not have much hope for the future. The authors undertook a grounded theory study (Cutcliff & Zinck, 2011) that resulted in a four-stage theory of hope inspiration for PLWHA. Both the core variable, "Turning from death to life, " and the four stages of the theory have significant practice, education, and policy implications for counselors working with PLWHA, which this article explores in detail. It draws attention to specific counselor qualities (i.e., awareness, possessing a working knowledge of HIV/AIDS) and a sense of hope that the authors argue is needed to underpin effective work with PLWHA. It describes hope-inspiring interventions—witnessing hopelessness, punctuating resources, networking, and re-storying—that counselors might consider, linking each to the theory and stages of hope inspiration

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