退伍军人卫生管理局艾滋病毒护理连续:2019年与2022年相比
Marissa Maier1, Lauren A Beste2, Elliott Lowy3
1Oregon Health & Science University, Division of Infectious Diseases, Department of Medicine; VA Portland Health Care System, Portland, Oregon, USA.
Open forum infectious diseases
|August 1, 2024
概括
退伍军人卫生管理局的HIV护理连续从2019年到2022年,连接,护理和保留的数量有所下降. 尽管如此,病毒抑制率仍然很高,超过了国家平均水平.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 人类免疫缺陷病毒 (HIV) 护理连续性是评估和改善HIV护理质量的重要框架.
- 它指导国家管理艾滋病毒的战略,从诊断到病毒抑制.
- 退伍军人卫生管理局 (VHA) 使用这种连续性来评估其艾滋病毒护理服务.
研究的目的:
- 为了展示VHA的HIV护理连续性表现.
- 为了比较大流行前 (2019年) 和大流行后 (2022年) 的VHA性能.
- 将VHA的艾滋病毒治疗结果与疾病控制和预防中心 (CDC) 的国家数据进行比较.
主要方法:
- 在VHA系统中对艾滋病毒感染者 (PWH) 进行了全国性的回顾性队列分析.
- 分析了2019年和2022年的数据,重点关注关键连续性指标:与护理的联系,接受护理,在护理中的保留和病毒抑制.
- 多变量逻辑回归确定了与病毒抑制相关的因素.
主要成果:
- 2019年,VHA实现了83%的链接,84%的接受护理,76%的保留,76%的病毒抑制 (93%具有VL结果).
- 到2022年,这些数字下降到74%的联系,79%的接受护理,67%的保留和70%的病毒抑制 (94%具有VL结果).
- 在所有PWH中,整体病毒抑制在2019年至2022年期间下降了5.2%.
结论:
- 在具有可用的病毒载荷结果的个体中,VHA显示了高的病毒抑制率 (>90%).
- 在2019年至2022年期间,包括病毒抑制在内的HIV护理连续性指标的显著下降被观察到.
- VHA的HIV护理连续性表现超过了CDC报告的全国平均水平.
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