患者门户工具使用与药物坚持和艾滋病毒感染患者病毒载荷之间的关系
Amanda M Midboe1,2, Shayna Cave3, Stephanie L Shimada4,5,6
1VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA. Amanda.Midboe@va.gov.
Journal of general internal medicine
|January 22, 2024
概括
患者门户的使用,包括处方补充和安全消息传递,改善了艾滋病毒患者的药物坚持. 查看预约和实验室也对坚持和病毒负载抑制产生了积极影响,增强了慢性疾病管理.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患者门户对于患者参与医疗保健至关重要.
- 持续的参与对于管理艾滋病毒等慢性疾病至关重要.
- 门户网站有潜力改善复杂疾病患者的健康状况.
研究的目的:
- 研究特定患者门户工具使用与艾滋病毒阳性个体的健康结果之间的纵向关联.
- 了解My HealtheVet门户网站的不同功能如何影响艾滋病毒治疗.
主要方法:
- 使用退伍军人卫生管理局 (VA) 电子健康记录数据进行的回顾性队列研究.
- 分析了2012年至2017年期间在My HealtheVet (MHV) 注册的18390名艾滋病毒阳性患者 (PLWH) 的全国样本.
- 应用边缘结构模型来评估MHV工具使用 (处方补充,安全消息,查看预约,查看实验室) 和结果 (病毒载荷测试收件,病毒载荷抑制,ART坚持) 之间的关系.
主要成果:
- 处方补充使用 (任何或ART) 与抗逆转录病毒疗法 (ART) 坚持正相关.
- 安全消息的使用与更高的ART坚持有关,但与病毒负载抑制无关.
- 与改善ART坚持和病毒载荷测试接收相关的观察预约.
- 查看实验室积极与病毒负载抑制相关,独立于ART坚持.
结论:
- 患者门户的利用,特别是处方补充和安全消息传递等功能,表明对ART坚持有积极影响.
- 使用诸如查看预约和实验室等功能可以有助于改善PLWH中的病毒载荷控制.
- 这些发现强调了患者门户在改善治疗慢性疾病 (包括艾滋病毒) 患者的健康状况方面的重要作用.
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