评估实施长效注射HIV抗逆转录病毒治疗的准备:提供者和工作人员的观点
Kimberly A Koester1, Jonathan A Colasanti2, Moira C McNulty3,4
1Division of Prevention Science, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94105, USA. Kimberly.koester@ucsf.edu.
Implementation science communications
|October 20, 2023
概括
长效注射抗逆转录病毒疗法 (LAI-ART) 显示出对艾滋病毒治疗的前景. 成功实施需要解决诊所系统的挑战,并确保所有艾滋病毒感染者获得公平的机会.
科学领域:
- 艾滋病毒/艾滋病研究研究
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 长效注射抗逆转录病毒疗法 (LAI-ART) 是艾滋病毒管理中的新兴创新.
- 实施前的研究对于制定战略至关重要,以确保艾滋病毒感染者平等获得LAI-ART.
研究的目的:
- 探索在艾滋病毒诊所实施LAI-ART的障碍和促进因素.
- 了解提供者和工作人员对LAI-ART准备和实施意向的看法.
主要方法:
- 焦点小组讨论 (FGD) 与旧金山,芝加哥和亚特兰大的艾滋病毒诊所提供者和工作人员进行.
- 使用实施研究综合框架 (CFIR) 的专题分析应用于转录的FGD.
- 参与者还完成了一项关于实施意向的调查.
主要成果:
- 观察到组织对LAI-ART实施的高度准备,有85%的参与者致力于其采用.
- 主要主题包括公平获取的必要性,将遵守责任转移到诊所,以及需要加强诊所系统.
- 目前的系统可以支持有限的LAI-ART使用;扩展需要额外的人员和特定的程序元素,如集中跟踪和移动交付.
结论:
- 艾滋病毒治疗场所表现出高度准备为一小部分患者提供LAI-ART.
- 主要的实施挑战包括确保公平的准入和加强诊所基础设施.
- 解决与计费,运输和存储相关的后勤问题对于成功推出LAI-ART至关重要.
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