一个以社区为基础的暴露前预防和远程医疗计划,专注于拉丁裔性少数群体男性
Elí A Andrade1,2, Gabriela Betancourt3, Gustavo Morales3
1Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA.
AIDS patient care and STDs
|November 13, 2023
概括
一个协作远程医疗计划改善了拉丁裔性少数群体男性获得艾滋病毒暴露前预防 (PrEP) 的机会. 这种以社区为基础的方法成功地吸引了难以接触的人群,增加了PrEP的使用率.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 健康 公平 卫生 公平
背景情况:
- 拉丁裔性少数群体男性 (LSMM) 在获得艾滋病毒暴露前预防 (PrEP) 时遇到重大障碍.
- 现有的医疗保健模式往往无法充分覆盖和服务这一关键人群.
- 社区组织 (CBOs) 在弥合医疗保健差距方面发挥着至关重要的作用.
研究的目的:
- 设计和实施一个以社区为基础的协作远程医疗计划 (CBO-PrEP),以改善LSMM的PrEP获取.
- 评估这种新型PrEP输送模型的可行性和有效性.
- 确定成功实施和可扩展性的关键组件.
主要方法:
- 一个涉及CBO工作人员和艾滋病毒预防计划的合作过程开发了推,保险和预约导航的协议.
- 提取了电子病历数据,以评估计划的可行性和临床结果.
- 该计划整合了远程医疗和面对面的服务,用于预约和实验室测试.
主要成果:
- 该CBO-PrEP计划成功地推并吸引了102名个人,其中85名被认定为西班牙裔/拉丁裔.
- 预定预约的高比例 (80.6%) 完成,其中大多数 (82.6%) 通过远程医疗进行.
- 绝大多数完成初始预约和实验室检测的患者被处方PrEP (75%的远程医疗,100%的面对面).
结论:
- 该CBO-PrEP模型证明了参与LSMM的可行性和成功,LSMM是一个经常被传统医疗保健系统服务不足的人群.
- 公共卫生组织和医疗保健提供者之间的协作努力可以显著提高优先人群中PrEP的使用率.
- 这种基于社区的远程医疗综合方法为改善艾滋病毒预防服务提供了一个可扩展的模型.
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