推进艾滋病毒患者导航:评估住房和就业护理模式
Joseph S Lightner1, Steven Chesnut2, Howard J Cabral3
1School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, USA. Lightnerj@umkc.edu.
AIDS and behavior
|August 22, 2024
概括
患者导航显著改善了艾滋病毒感染者的住房,就业和护理. 这种干预有助于减少获得基本服务的障碍,并改善健康结果.
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
- 艾滋病毒/艾滋病研究研究
背景情况:
- 艾滋病毒感染者在住房和就业方面遇到重大障碍.
- 患者导航是一种已被证明可以改善获得服务和健康结果的干预措施.
研究的目的:
- 评估患者导航在不同医疗机构的实施情况.
- 评估患者导航对艾滋病毒感染者的住房,就业,病毒抑制和保留在护理中的影响.
主要方法:
- 一项涉及12个不同美国地点 (卫生部门,卫生中心,艾滋病服务组织) 的1082名参与者的多站点研究.
- 实施单个或多个导航员干预.
- 客户级数据分析使用后勤回归来模型结果.
主要成果:
- 患者导航显著改善住房 (OR=1.18,p<.001),就业 (OR=1.09,p<.001) 和在护理中的保留 (OR=1.11,p=.007).
- 病毒抑制没有显著改善 (OR=1.04,p=.120).
- 导航模型的有效性因设置而异,更密集的格式在特定环境中显示出更好的结果.
结论:
- 患者导航是改善艾滋病毒感染者的住房,就业和留在护理中的有效策略.
- 不同的导航模型在特定环境中可能更有效,突出了对量身定制方法的需求.
- 这项研究扩大了关于实施多式联运导航策略的证据,以减少对艾滋病毒感染者的护理障碍.
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