在新泽西州的提供者中,艾滋病毒的障碍迅速开始
Debbie Y Mohammed1, Russell Brewer2, Jason Leider3
1Department of Nursing, William Paterson University, Wayne, NJ, USA.
HIV research & clinical practice
|September 25, 2024
概括
快速启动 (Rapid Start) 是一种关键的艾滋病毒治疗策略,由于提供者的障碍,在新泽西州的采用速度很慢. 解决这些问题需要政策变化和加强提供者教育,以改善艾滋病毒护理.
科学领域:
- 艾滋病毒/艾滋病研究研究
- 公共卫生政策 公共卫生政策
- 传染病管理 传染病管理
背景情况:
- 快速开始在诊断后七天内为艾滋病毒感染者 (PWH) 启动抗逆转录病毒疗法 (ART).
- 益处包括更快的病毒抑制,改善在护理中的保留,及时连接到医疗服务.
- 尽管有优势,快速启动在新泽西州的普及率仍然很低.
研究的目的:
- 确定新泽西州医疗保健提供者在实施快速启动时遇到的障碍.
- 了解影响快速启动采用的提供者知识,态度和实践特征.
主要方法:
- 一项电子调查评估了提供者和实践的特点,知识,障碍和态度.
- 该调查包括四个领域的28个问题,通过Qualtrics进行管理.
- 由于样本规模有限,描述性统计数据被用于数据分析.
主要成果:
- 69家提供者回应;70%缺乏关于整合酶抑制剂低耐药性的知识.
- 虽然70%的网站提供了当日预约,但瑞安·怀特网站的同日和延长时间的费率较低.
- 医疗服务提供者对快速开始对没有避孕套的性行为的人感到不舒服,并且在基因型结果之前启动ART的舒适度较低.
结论:
- 临床层面的障碍需要政策和行政干预,以促进快速启动.
- 一个艾滋病毒临床学者计划可以增强提供者知识,并促进快速启动的采用.
- 解决提供者的舒适性和知识差距对于有效的HIV治疗启动至关重要.
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