2013年至2014年美国艾滋病护理提供者提供的艾滋病抗逆转录病毒治疗依从性支持服务
Delivery of HIV Antiretroviral Therapy Adherence Support Services by HIV Care Providers in the United States, 2013 to 2014.
作者信息
Weiser John, Beer Linda, Brooks John T, Irwin Kathleen, West Brady T, Duke Christopher C, Gremel Garrett W, Skarbinski Jacek
机构信息
1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 Survey Research Center, University of Michigan, Ann Arbor, MI, USA.
出版信息
J Int Assoc Provid AIDS Care. 2017 Nov/Dec;16(6):624-631. doi: 10.1177/2325957417729754. Epub 2017 Sep 13.
BACKGROUND
Little is known about clinicians' adoption of recommendations of the International Association of Providers of AIDS Care and others for supporting adherence to antiretroviral therapy (ART).
METHODS
We surveyed a probability sample of US HIV care providers to estimate the percentage offering 3 ART adherence support services to most or all patients and assessed the characteristics of providers offering all 3 services (comprehensive support) to most or all patients.
RESULTS
Almost all providers (95.5%) discussed ART adherence at every visit, 60.1% offered advice about tools to increase adherence, 53.5% referred nonadherent patients for supportive services, and 42.8% provided comprehensive support. Nurse practitioners were more likely to offer comprehensive support as were providers who practiced at Ryan White HIV/AIDS Program-funded facilities, provided primary care, or started caring for HIV-infected patients within 10 years.
CONCLUSION
Less than half of HIV care providers offered comprehensive ART adherence support. Certain subgroups may benefit from interventions to increase delivery of adherence support.
背景
关于临床医生采纳艾滋病护理提供者国际协会及其他组织提出的支持抗逆转录病毒疗法（ART）依从性的建议，人们了解甚少。
方法
我们对美国艾滋病护理提供者的概率样本进行了调查，以估计向大多数或所有患者提供三种ART依从性支持服务的比例，并评估向大多数或所有患者提供所有三种服务（全面支持）的提供者的特征。
结果
几乎所有提供者（95.5%）在每次就诊时都会讨论ART依从性，60.1%提供关于提高依从性工具的建议，53.5%将不依从的患者转介至支持性服务，42.8%提供全面支持。执业护士更有可能提供全面支持，在瑞安·怀特艾滋病项目资助的机构执业、提供初级护理或在10年内开始护理艾滋病毒感染患者的提供者也是如此。
结论
不到一半的艾滋病护理提供者提供全面的ART依从性支持。某些亚组可能会从增加依从性支持提供的干预措施中受益。
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