在被诊断为人类免疫缺陷病毒的人群中,提供者类型对辅助服务的未满足需求
Celina Thomas1, Xin Yuan2, Jennifer A Taussig3
1Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Open forum infectious diseases
|July 5, 2024
概括
许多艾滋病毒感染者对辅助服务的需求尚未得到满足. 虽然非传染病医生和护士从业人员在某些领域的未满足需求较低,但所有艾滋病毒患者的牙科和病例管理需求仍然存在.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 人类免疫缺陷病毒 (PWH) 感染者中存在大量对辅助服务的未满足需求.
- 提供者类型可能会影响这些未满足需求的普遍性.
- 辅助服务对于全面的艾滋病毒护理和管理至关重要.
研究的目的:
- 评估PWH中对辅助服务的未满足需求的普遍性.
- 检查艾滋病毒护理提供者的类型如何影响这些未满足的需求.
- 在不同类型的提供商中确定具有高未满足需求的特定辅助服务.
主要方法:
- 来自CDC医疗监测项目的PWH国家概率样本 (N=3413) 的2019年数据的分析.
- 根据艾滋病毒护理提供者的类型 (ID医生,非ID医生,执业护士,医生助理) 评估对个人辅助服务的未满足需求.
- 计算患病率差异与预测边际平均值,以比较提供者群体之间的未满足需求.
主要成果:
- 据估计,98.2%的PWH报告说至少需要一个辅助服务,46%的人至少遇到一个未满足的需求.
- 接受非ID医生和护士从业人员护理的患者报告说,与那些看ID医生相比,对辅助服务的整体需求更高.
- 尽管其他地方的整体需求更高,但非ID医生的患者有较低的未满足牙科护理需求,与ID医生患者相比,执业护士患者的患者有较低的未满足HIV病例管理需求.
结论:
- 虽然许多辅助需求可以在艾滋病毒护理设施内得到满足,但有针对性的干预措施是必要的.
- 需要额外的资源来满足牙科护理和艾滋病毒病例管理的未满足需求,特别是对于传染病医生的患者.
- 优化辅助服务提供需要了解提供者类型在满足艾滋病毒感染者的各种需求中的作用.
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