政策制定者对快速ART和同一天PrEP在7个优先司法管辖区的实施决定因素的观点,以结束艾滋病毒流行:一项多站点定性研究
Anna-Sophia Katomski1, Ana Michaela Pachicano2, Alithia Zamantakis2,3
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Journal of acquired immune deficiency syndromes (1999)
|March 31, 2025
概括
实施快速抗逆转录病毒疗法 (ART) 和当天暴露前预防 (PrEP) 面临诸如犹和资金缺口等障碍. 合作战略对于在不同环境中公平地采用快速的START模型至关重要.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 预防和治疗艾滋病病毒
背景情况:
- 快速抗逆转录病毒疗法 (ART) 和当天暴露前预防 (PrEP) (快速START) 模型显示可行性,但在美国面临实施障碍.
- 赖恩·怀特 (Ryan White) 资助的诊所对艾滋病毒服务至关重要,需要公平快速采用START的战略.
研究的目的:
- 确定影响快速实施START的共同因素.
- 通过各种司法设置,为公平快速采用START战略提供信息.
主要方法:
- 在艾滋病毒实施科学网络进行半结构面试 (n=13) 与艾滋病毒领导在七个结束艾滋病毒疫情管辖区.
- 数据从2023年3月到2024年8月收集,并使用实施研究综合框架进行分析.
主要成果:
- 快速ART的障碍包括提供者/患者的犹,认识差距,隔离护理和资金问题. 促进者包括学习协作,技术和明确的合同.
- 同日PREP的限制包括资金不平等和低意识;支持者是综合护理,起步包和药物援助.
结论:
- 跨司法管辖区发现了快速START的持续障碍和促进因素,无论医疗补助扩张等背景差异如何.
- 系统领导者和服务提供商之间的协作努力对于快速START模型的公平采用和透至关重要.
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