Sinai Infectious Disease Center, Sinai Chicago, 1500 S. Fairfield Ave., Chicago, IL, USA.
Lewis Katz School of Medicine at, Temple University, 3500 N. Broad St., Philadelphia, PA, USA.
AIDS Behav. 2022 Aug;26(8):2581-2587. doi: 10.1007/s10461-022-03604-w. Epub 2022 Feb 3.
The COVID-19 pandemic has created increased need for telehealth appointments. To assess differences in appointment adherence for telehealth compared to in-person HIV medical care visits, we conducted a cross-sectional study of patients receiving HIV care in a safety-net hospital-based outpatient infectious disease clinic in a large urban area (Chicago, IL). The sample (N = 347) was predominantly Black (n = 251) and male (62.5%, n = 217); with a mean age of 44.2 years. Appointment attendance was higher for telehealth (78.9%) compared to in-person (61.9%) appointments. Compared to patients without drug use, those with drug use had 19.4 percentage point lower in-person appointment attendance. Compared to those with stable housing, those in unstable housing arrangements had 15.0 percentage point lower in-person appointment attendance. Telehealth as a modality will likely have some staying power as it offers patients newfound flexibility, but barriers to telehealth need to be assessed and addressed.
译文：新冠疫情大流行增加了对远程医疗预约的需求。为了评估远程医疗与面对面的艾滋病毒医疗就诊在预约依从性方面的差异，我们对在一个大城市（伊利诺伊州芝加哥）的一家基于医院的传染病门诊接受艾滋病毒护理的患者进行了一项横断面研究。该样本（N=347）主要为黑人（n=251）和男性（62.5%，n=217）；平均年龄为 44.2 岁。远程医疗预约的出勤率（78.9%）高于面对面预约（61.9%）。与无药物使用的患者相比，有药物使用的患者面对面预约出勤率低 19.4 个百分点。与住房稳定的患者相比，住房安排不稳定的患者面对面预约出勤率低 15.0 个百分点。远程医疗作为一种模式可能会有一定的持久力，因为它为患者提供了新的灵活性，但需要评估和解决远程医疗的障碍。
