客户对艾滋病毒护理协调计划的偏好 纽约市的特点:对离散选择实验的潜在类分析
Madellena Conte1,2, Rebecca Zimba1, Chunki Fong1
1Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY), New York, New York, USA.
Journal of the International AIDS Society
|August 29, 2023
概括
艾滋病护理协调计划的客户更喜欢远程医疗和不那么密集的服务. 研究结果支持远程分娩和量身定制的护理选择,以改善高需要的个体的艾滋病毒结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 艾滋病毒/艾滋病研究研究
背景情况:
- 持续的艾滋病毒结果差异影响了纽约市高需要的个人.
- 艾滋病毒护理协调计划 (CCP) 经过修订,以解决这些差异.
研究的目的:
- 评估客户对艾滋病毒护理协调计划 (CCP) 服务的偏好.
- 通过评估客户的选择,通过评估客户的选择,为CCP设计的改进提供信息.
主要方法:
- 一个离散选择实验 (DCE) 于181名中央对手客户进行.
- 客户根据ART坚持支持,初级保健准入,其他支持服务和访问位置等属性评估了假设的CCP选择.
- 隐性类别分析发现了不同的偏好模式.
主要成果:
- 客户偏好被分为三个组,访问位置和ART坚持支持是最重要的.
- 强烈的偏好出现了远程医疗服务和不那么密集的支持.
- 很大一部分客户更喜欢远程医疗,而不是访问和ART坚持支持.
结论:
- 这项研究突出了人们对远程医疗的偏好,对像直接观察疗法 (DOT) 这样的密集服务的需求较低.
- 调查结果支持在纽约市中心医院内实施差异化护理模式和远程服务提供.
- 结果可以指导未来的CCP设计改进,以更好地满足客户的需求,并减少艾滋病毒的结果差异.
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