在住院环境中启动暴露前预防:质量改进项目
Sarah Flynn1, Meredith Adamo2, Marta Kochanska3
1Department of Medicine, University of California San Francisco, San Francisco, California, USA sarah.flynn2@ucsf.edu.
许多高危人群错过了预防艾滋病毒的暴露前预防 (PrEP). 将艾滋病毒风险查和PrEP启动整合到住院期间,可以接触到弱势患者并减少差异.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 许多高风险感染艾滋病毒的人没有接受暴露前预防 (PrEP).
- 艾滋病毒风险咨询和PrEP启动通常仅限于门诊机构,限制了弱势群体的访问.
研究的目的:
- 描述一个质量改善项目,将普遍的艾滋病毒风险查和PrEP启动整合到安全网医院的标准住院护理中.
- 评估基于住院患者的艾滋病毒预防方法的可行性和影响.
主要方法:
- 实施对艾滋病毒风险因素的普遍查,并为所有医疗服务的入院患者提供PrEP资格.
- 举办了提供者教育会议和传播临床材料,以提高对艾滋病毒预防咨询和PrEP处方的知识和舒适度.
- 建立了新的工作流程,以促进住院期间的查和启动.
主要成果:
- 在9个月的时间里,14名住院患者在住院期间开始接受PrEP治疗.
- 该干预成功地通过住院入院,使弱势患者参与艾滋病毒预防服务.
结论:
- 将艾滋病毒风险查和PrEP启动整合到住院护理中是一个可行的策略,以接触有风险的人群.
- 这种方法有可能通过提供及时获得预防服务来减少艾滋病毒结果的差异.
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