远程医疗：解决人类免疫缺陷病毒预防和暴露前预防措施获取方面差异的方案，以及实现可扩展性和公平性的框架。
Telemedicine: a solution to disparities in human immunodeficiency virus prevention and pre-exposure prophylaxis uptake, and a framework to scalability and equity.
作者信息
Wong Keith Yiu Kei, Stafylis Chrysovalantis, Klausner Jeffrey D
机构信息
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Division of Infectious Diseases, Department of Medicine, University of California Los Angeles, CA, USA.
出版信息
Mhealth. 2020 Apr 5;6:21. doi: 10.21037/mhealth.2019.12.06. eCollection 2020.
Abstract
As the group with the highest risk and the lowest pre-exposure prophylaxis (PrEP) utilization, black and Hispanic young men who have sex with men (MSM) face the brunt of the current human immunodeficiency virus (HIV) epidemic within the United States. In this narrative review, we summarized recent interventions that utilize technology (telemedicine) to improve HIV PrEP uptake. We examined the general model of those telemedicine programs and evaluated their success and limitations in addressing PrEP accessibility for at-risk individuals. We also identified the current bottlenecks in the scalability of telemedicine programs, offered suggestions to overcome these barriers, and advocated for a centralized source of funding to increase the accessibility of telemedicine programs for PrEP.
摘要
作为风险最高且暴露前预防（PrEP）使用率最低的群体，美国的黑人及西班牙裔男男性行为者（MSM）首当其冲地面临着当前的人类免疫缺陷病毒（HIV）疫情。在这篇叙述性综述中，我们总结了近期利用技术（远程医疗）来提高HIV PrEP使用率的干预措施。我们研究了那些远程医疗项目的一般模式，并评估了它们在解决高危个体PrEP可及性方面的成功之处和局限性。我们还确定了远程医疗项目在可扩展性方面目前存在的瓶颈，提出了克服这些障碍的建议，并主张设立一个集中的资金来源，以提高远程医疗项目在PrEP方面的可及性。
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