Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:23259582211041423. doi: 10.1177/23259582211041423.
During the COVID-19 pandemic, HIV clinics had to transform care delivery for people with HIV (PWH). We developed a multifaceted telehealth implementation strategy and monitored number of out of care patients (OOC), medical visit frequency (MVF), gap in care (GiC) and viral suppression (VS), and compared measures to baseline data. Between April and October 2020, 1559 visits were scheduled; 328 (21%) were missed, and 63 (4%) were new to care. Of the remaining 1168 follow-up visits, 412 (35%) were telehealth visits. As of October 2020, there were 53 patients OOC, MVF was 55% and GiC was 24% compared to 34, 69% and 14% at baseline, respectively. Overall VS rate remained high at 93% (97% for telehealth and 91% for in-person visits, p = 0.0001). Our implementation strategy facilitated quick provision of telehealth to a third of PWH receiving care in our clinic. While MVF decreased and GiC increased, VS rates remained high.
在 COVID-19 大流行期间，艾滋病毒诊所不得不改变为艾滋病毒感染者（PWH）提供的护理方式。我们制定了一个多方面的远程医疗实施策略，并监测了失访患者（OOC）、医疗就诊频率（MVF）、护理间隔（GiC）和病毒抑制（VS）的数量，并将这些措施与基线数据进行了比较。在 2020 年 4 月至 10 月期间，安排了 1559 次就诊；328 次（21%）被错过，63 次（4%）是新患者。在剩余的 1168 次随访就诊中，有 412 次（35%）是远程医疗就诊。截至 2020 年 10 月，有 53 名患者失访，MVF 为 55%，GiC 为 24%，而基线时分别为 34、69%和 14%。总体 VS 率仍保持在 93%（远程医疗为 97%，面对面就诊为 91%，p = 0.0001）。我们的实施策略使我们诊所接受治疗的三分之一的 PWH 能够快速获得远程医疗服务。虽然 MVF 下降和 GiC 增加，但 VS 率仍保持高位。
