Harvard Medical School, Boston, Massachusetts, USA.
Clin Infect Dis. 2010 Mar 1;50(5):752-61. doi: 10.1086/649933.
Retaining human immunodeficiency virus (HIV)-infected patients in medical care at regular intervals has been shown to be linked to positive health outcomes. This article examines the available literature and research on retention and engagement in care of HIV-infected patients. We identify the extent of the problem of keeping patients engaged in care, as well as analyze which groups of patients are likely to be lost to follow-up. A review of different ways to measure patient retention is considered, as well as some preliminary data that suggest successful ways to re-engage patients in care. The need to ensure that HIV-infected patients are retained in care is a pressing public health issue and one that affects multiple populations. Further research and exchange of information are needed to keep patients in continuous care and to ensure that all patients are provided with regular, high-quality care that achieves both desired patient and population health outcomes.
定期将感染人类免疫缺陷病毒 (HIV) 的患者纳入医疗护理中，已被证明与积极的健康结果相关。本文研究了有关 HIV 感染患者保留和参与护理的现有文献和研究。我们确定了让患者参与护理的问题的严重程度，并分析了哪些患者群体可能会失去随访。我们考虑了衡量患者保留率的不同方法，以及一些初步数据，这些数据表明了重新让患者参与护理的成功方法。确保感染 HIV 的患者得到护理是一个紧迫的公共卫生问题，影响到多个群体。需要进一步研究和信息交流，以确保患者持续接受护理，并确保所有患者都能获得定期、高质量的护理，从而实现患者和人群健康结果的双重目标。
