Department of Health Promotion and Disease Prevention, College of Public Health, University of Nebraska Medical Center, 984355 Nebraska Medical Center, Omaha, NE, 68198-4355, USA.
Infectious Diseases Division- Specialty Care Center, Nebraska Medicine, Omaha, NE, USA.
Curr HIV/AIDS Rep. 2022 Oct;19(5):446-453. doi: 10.1007/s11904-022-00623-z. Epub 2022 Sep 5.
This review summarizes the current state of telehealth utilization in HIV care delivery by highlighting successes, gaps, and unresolved challenges related to access, disparities, care providers in and standardization of policies and protocol.
Telehealth adoption in HIV care delivery in the USA has been successful. Despite this success, racial minority groups, older adults, and individuals with low telehealth literacy report low preference, dissatisfaction, and experience poorer health outcomes than other groups. Lack of broadband access, compatible devices, standardization, and government regulations of telehealth in HIV care contribute to poor patient-provider experience and utilization. Telehealth remains a valuable tool in HIV care. However, disparities exist in access and health outcomes. Telehealth literacy, broadband access, protecting patients' data, policies, and standardized protocols are critical in sustaining telehealth for HIV care. Further research is needed on preferences and how specific telehealth platforms influence HIV treatment outcomes.
本文总结了当前利用远程医疗进行 HIV 护理的现状,重点介绍了在获取途径、差异、医疗服务提供者以及政策和协议标准化方面取得的成功、存在的差距和尚未解决的挑战。
在美国,远程医疗在 HIV 护理中的应用取得了成功。尽管如此,少数族裔、老年人以及远程医疗素养较低的人群报告称,他们对远程医疗的偏好、满意度较低,健康状况较其他人群更差。缺乏宽带接入、兼容的设备、远程医疗在 HIV 护理中的标准化以及政府监管是导致患者-提供者体验和利用率较差的原因。远程医疗仍然是 HIV 护理的重要工具。然而,在获取途径和健康结果方面存在差异。远程医疗素养、宽带接入、保护患者数据、政策和标准化协议对于维持 HIV 护理的远程医疗至关重要。需要进一步研究偏好以及特定的远程医疗平台如何影响 HIV 治疗结果。