获取2PrEP2-A提供者消息策略以改善PrEP吸收:一个随机控制的质量改进项目
Jason Zucker1,2,3, Delivette Castor1,3,4, Deborah Theodore1,2,3
1Department of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York, USA.
Open forum infectious diseases
|June 24, 2024
概括
提供者关于艾滋病毒暴露前预防 (PrEP) 对性传播感染患者的信息提供者简单地增加了记录的讨论. 这种干预措施显示了改善PrEP获取和艾滋病毒预防工作的潜力.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 医疗信息学 医疗信息学
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 对于预防艾滋病毒传播至关重要.
- 细菌性传播感染 (STIs) 的诊断表明可能需要HIV PrEP.
- 之前的研究表明,电子病历 (EMR) 实验室评论没有增强PrEP讨论.
研究的目的:
- 评估通过EMR的个性化提供者消息是否增加了HIV PrEP讨论,转介或提供的文档.
- 评估积极,个性化的消息对被诊断患有性病的患者HIV PrEP吸收指标的影响.
主要方法:
- 进行了一项平行三臂,无盲,随机对照试验 (Get2PrEP2).
- 参与者被分为2:1进行干预或标准护理.
- 干预涉及提供商通过EMR聊天或电子邮件发送信息.
主要成果:
- 与标准护理相比,干预组中观察到记录PrEP讨论的适度增加7.8%.
- 在EMR聊天和电子邮件消息传递模式之间没有发现显著差异.
- 记录下来的讨论在门诊/急诊部门,女性和25岁以下的个人中更频繁.
结论:
- 针对性提供者向性病患者发送信息对记录PrEP讨论有很小但很重要的影响.
- 需要进一步的研究来确认这种信息是否会增加实际的PrEP吸收并改善长期的结果.
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