1 Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
2 François-Xavier Bagnoud Center, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA.
Public Health Rep. 2018 Sep/Oct;133(5):532-542. doi: 10.1177/0033354918789912. Epub 2018 Aug 10.
Eliminating perinatal transmission of HIV and improving the care of childbearing women living with HIV in the United States require public health and clinical leadership. The Comprehensive Care Workgroup of the Elimination of Perinatal HIV Transmission Stakeholders Group, sponsored by the Centers for Disease Control and Prevention, developed a concept of perinatal HIV service coordination (PHSC) and identified 6 core functions through (1) semistructured exploratory interviews with contacts in 11 state or city health departments from April 2011 through February 2012, (2) literature review and summary of data on gaps in services and outcomes, and (3) group meetings from August 2010 through June 2017. We discuss leadership strategies for implementing the core functions of PHSC: strategic planning, access to services, real-time case finding, care coordination, comprehensive care, and data and case reviews. PHSC provides a systematic approach to optimize services and close gaps in perinatal HIV prevention and the HIV care continuum for childbearing women that can be individualized for jurisdictions with varying needs.
消除围产期艾滋病毒传播和改善美国艾滋病毒感染育龄妇女的护理需要公共卫生和临床领导。由疾病预防控制中心赞助的消除围产期艾滋病毒传播利益相关者小组综合护理工作组，通过（1）2011 年 4 月至 2012 年 2 月与 11 个州或城市卫生部门联系人的半结构式探索性访谈，（2）服务和结果差距数据的文献回顾和总结，以及（3）2010 年 8 月至 2017 年 6 月的小组会议，制定了围产期艾滋病毒服务协调（PHSC）的概念，并确定了 6 项核心功能。我们讨论了实施 PHSC 核心功能的领导策略：战略规划、服务获取、实时病例发现、护理协调、综合护理以及数据和病例审查。PHSC 为优化服务和缩小围产期艾滋病毒预防以及艾滋病毒育龄妇女护理连续体中的差距提供了一种系统方法，可以根据不同需求的司法管辖区进行个性化调整。
