项目主任报告COVID-19封锁驱动的服务变化在美国东南部社区性传播疾病诊所和注射器服务计划的社区性传播疾病诊所和注射器服务计划
Mary A Hatch1, Tanja C Laschober1, Melissa M Ertl2
1Addictions, Drug & Alcohol Institute, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
概括
随着COVID-19大流行,卫生服务发生了转变,性传播感染 (STI) 诊所和注射器服务计划 (SSP) 采用了远程医疗. 障碍包括有限的互联网接入,但创新的适应措施维持了弱势群体的服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 传染病流行病学 传染病流行病学
背景情况:
- COVID-19大流行严重扰乱了美国的医疗保健系统,特别是基于社区的计划.
- 物流方面的挑战影响了弱势群体的服务,包括那些面临艾滋病毒和物质使用障碍的风险群体.
研究的目的:
- 评估COVID-19大流行对性传播感染 (STI) 诊所和注射器服务计划 (SSP) 的服务提供的影响.
- 识别这些社区计划中远程医疗和面对面服务的采用以及相关障碍.
- 为未来的公共卫生紧急情况提供指导.
主要方法:
- 在美国东南部五个州的性传播疾病诊所和SSP的11位项目主管进行的一项调查.
- 询问的重点在于在COVID-19早期的封锁阶段使用面对面和远程医疗服务.
- 数据收集捕获了服务修改和对远程医疗采用的感知障碍.
主要成果:
- 观察到面对面服务的广泛减少和远程医疗的采用增加.
- 性病诊所在很大程度上用远程医疗取代了面对面的诊所,除了紧急的症状治疗.
- 注射器服务计划保持或增加了面对面的接触;有限的设备/互联网访问和技术便利是远程医疗的主要障碍.
结论:
- 在疫情期间,以社区为基础的项目通过创新的适应方式展示了弹性.
- 远程医疗实施面临与数字访问和可用性相关的重大障碍.
- 调查结果为加强弱势群体在公共卫生危机中的服务准备提供了可操作的见解.
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