远程医疗在巴西公共服务中提供暴露前预防的有效性:组合! 研究研究研究研究研究研究
Alexandre Grangeiro1, Lorruan Alves do Santos1, Denize Lotufo Estevam2
1Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Journal of the International AIDS Society
|September 28, 2023
概括
远程医疗用于暴露前预防 (PrEP) 提供,改善了艾滋病毒预防的准入和减少了HIV预防中断. 这种方法被较低医疗需求的个人更喜欢,提高了服务效率和预防级联.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 远程医疗远程医疗
背景情况:
- 暴露前预防 (PrEP) 交付模式影响了获取和有效性.
- 以用户为中心的方法对于提高PrEP吸收和坚持至关重要.
- 远程医疗为改善PrEP服务提供提供提供了一个潜在的解决方案.
研究的目的:
- 评估远程医疗对日常口服PrEP治疗护理指标的影响.
- 评估用户偏好和影响 PrEP 采用远程医疗的因素.
- 为了比较 PrEP 用户的远程医疗与面对面随访的结果.
主要方法:
- 一项涉及巴西五家公共艾滋病毒诊所470名参与者的研究.
- 接受PrEP至少6个月的客户过渡到远程医疗或继续进行面对面的随访.
- 一个专门的应用程序促进了异步咨询,并补充了每年的面对面访问.
主要成果:
- 52%的用户选择了远程医疗;随着PrEP使用时间和医疗保险的长期增加,偏好也增加了.
- 远程医疗与停止PrEP的风险降低了34%.
- 两组之间没有观察到依从性或性传播感染的显著差异.
结论:
- 用于PrEP的远程医疗改善了服务的合理化,并加强了艾滋病毒预防级联.
- 这种模式有效地减少了预防中的中断,特别是在医疗需求较低的用户中.
- 远程医疗是优化PrEP在公共卫生环境中的获取和影响的可行策略.
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