在美国艾滋病毒护理设施中,快速招生和ART启动的障碍
Jesse O'Shea1, Xin Yuan2, Jen-Feng Lu2
1Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
概括
快速关联艾滋病毒护理和ART启动至关重要. 许多设施面临着诸如供应商能力有限和患者文档问题等障碍,延迟了艾滋病毒感染者的必要治疗.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与艾滋病毒护理的快速联系和抗逆转录病毒疗法 (ART) 的启动是艾滋病毒感染者 (PWH) 的标准.
- 解决及时招生和ART的障碍对于结束艾滋病毒流行病倡议至关重要.
研究的目的:
- 分析美国艾滋病毒护理设施中快速招生和ART启动的障碍.
- 确定影响及时获得艾滋病毒护理的设施特征和要求.
主要方法:
- 分析2021年医疗监测项目数据.
- 包括455个服务于美国PWH全国样本的设施.
主要成果:
- 只有19.9%的设施提供快速招生 (<1个工作日).
- 关键障碍包括提供者能力不足 (56%),患者偏好 (50%) 和文档问题 (19%).
- 大多数设施 (73%) 能够在第一次访问时提供30天的ART供应;障碍包括无法获得的测试结果 (56%) 和药物支付延迟 (49%).
结论:
- 在结构,提供者或患者层面的障碍阻碍了迅速的艾滋病治疗和ART启动.
- 艾滋病毒计划应该减少招生要求,提高患者的准备,以提高护理准入.
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