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International Journal of STD & AIDS

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Int J STD AIDS 2009;20:540-544
doi:10.1258/ijsa.2008.008422
© 2009 Royal Society of Medicine Press

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Original research articles

Unappreciated epidemiology: the churn effect in a regional HIV care programme

M J Gill MB MSc * {dagger} and H B Krentz BA PhD * {dagger} 

* Southern Alberta Clinic; {dagger} Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada

Correspondence to: Dr H B Krentz, Southern Alberta Clinic, Sheldon Chumir Health Center, #3223, 1213 – 4th St SW, Calgary, Alberta, Canada T2R 0X7 Email: hartmut.krentz{at}calgaryhealthregion.ca

High levels of geographic mobility in and out of HIV care centres (i.e. the churn effect) can disrupt the continuity of patient care, misalign prevention services, impact local prevalence data perturbing optimal allocation of resources, and contribute to logical challenges in repeated transfer of health records. We report on the clinical, demographic, and administrative impact of high population turnover within HIV populations.

Key Words: HIV/AIDS • geographic mobility • migration • continuity of care • Canada


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