在艾滋病毒诊所例行收集患者报告的结果:在完成了超过13万次评估后,我们吸取了教训
Heidi M Crane1, Mindy Dai1, Rob Fredericksen1
1Department of Medicine, University of Washington School of Medicine, Seattle, WA.
AIDS (London, England)
|February 23, 2026
概括
将患者报告的结果 (PRO) 整合到艾滋病毒护理环境中被证明是可行的和可持续的. 这种方法确定了主要的健康问题,如物质使用和住房不稳定性,改善临床护理和研究.
科学领域:
- 临床信息学 临床信息学
- 公共卫生 公共卫生
- 艾滋病毒 医学 艾滋病毒 医学
背景情况:
- 患者报告的结果 (PROs) 对医疗保健改进和研究至关重要.
- 在繁忙的临床环境中实施PRO存在重大挑战.
研究的目的:
- 评估将基于触摸屏的PRO评估整合到常规HIV护理中的可行性和可持续性.
- 在大量艾滋病毒阳性人群中识别患者报告的健康问题.
主要方法:
- 从2008年到2024年,一个基于网络的PRO评估被整合到美国9家诊所的HIV护理中.
- 超过21000名艾滋病毒感染者 (PWH) 通过触摸屏设备完成了超过13万次评估.
主要成果:
- 发现了高比例的抑郁症查 (24.9%),重度插曲性饮酒 (35.5%),吸烟 (38.9%),甲基胺使用 (10.9%),亲密伴侣暴力 (11.7%) 和住房不稳定 (8.4%).
- 初次评估时的平均年龄为43.8岁.
结论:
- 经过精心设计的PRO平台可以克服数据收集的传统障碍,并随着时间的推移而持续.
- 为临床护理收集的PRO数据对研究和机构需求有价值.
- 在繁忙的艾滋病毒护理环境中广泛实施临床PRO评估是可行的.
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