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1
Barriers to Universal Prescribing of Antiretroviral Therapy by HIV Care Providers in the United States, 2013-2014.2013 - 2014年美国艾滋病护理提供者普遍开具抗逆转录病毒疗法的障碍
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Clin Infect Dis. 2016 Oct 1;63(7):966-975. doi: 10.1093/cid/ciw442. Epub 2016 Jun 29.
3
High Concordance between Self-Reported Adherence, Treatment Outcome and Satisfaction with Care Using a Nine-Item Health Questionnaire in InfCareHIV.在InfCareHIV中使用九项健康问卷，自我报告的依从性、治疗结果与护理满意度之间具有高度一致性。
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Validation of a New Three-Item Self-Report Measure for Medication Adherence.一种用于药物依从性的新的三项自我报告测量方法的验证
AIDS Behav. 2016 Nov;20(11):2700-2708. doi: 10.1007/s10461-016-1406-x.
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Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013.2013年美国艾滋病护理提供者提供的降低艾滋病传播风险服务
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Adherence to antiretroviral therapy among HIV-infected adults in the United States.美国HIV感染成人对抗逆转录病毒疗法的依从性。
AIDS Educ Prev. 2014 Dec;26(6):521-37. doi: 10.1521/aeap.2014.26.6.521.
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Primary care guidelines for the management of persons infected with HIV: 2013 update by the HIV medicine association of the Infectious Diseases Society of America.美国传染病学会艾滋病医学协会关于艾滋病毒感染者管理的初级保健指南：2013 年更新。
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Implications of the Affordable Care Act for people with HIV infection and the Ryan White HIV/AIDS Program: what does the future hold?《平价医疗法案》对艾滋病毒感染者及瑞安·怀特艾滋病毒/艾滋病项目的影响：未来会怎样？
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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.

DOI:10.1177/2325957417729754
PMID:28899259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5662493/
Abstract

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.

摘要

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。