Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL, USA.
School of Social Work, Tulane University, New Orleans, LA, USA.
AIDS Behav. 2023 Aug;27(8):2478-2487. doi: 10.1007/s10461-022-03973-2. Epub 2023 Jan 12.
The emergence of the COVID-19 pandemic necessitated rapid expansion of telehealth as part of healthcare delivery. This study compared HIV-related no-shows by visit type (in-person; video; telephone) during the COVID-19 pandemic (April 2020-September 2021) from the Data for Care Alabama project. Using all primary care provider visits, each visit's outcome was categorized as no-show or arrived. A logistic regression model using generalized estimating equations accounting for repeat measures in individuals and within sites calculated odds ratios (OR) and their accompanying 95% confidence interval (CI) for no-shows by visit modality. The multivariable models adjusted for sociodemographic factors. In-person versus telephone visits [OR (95% CI) 1.64 (1.48-1.82)] and in-person versus video visits [OR (95% CI) 1.53 (1.25-1.85)] had higher odds of being a no-show. In-person versus telephone and video no-shows were significantly higher. This may suggest success of telehealth visits as a method for HIV care delivery even beyond COVID-19.
由于 COVID-19 大流行，医疗服务中迅速扩大远程医疗成为必要。本研究通过 Data for Care Alabama 项目，比较了 COVID-19 大流行期间（2020 年 4 月至 2021 年 9 月）不同就诊类型（现场、视频、电话）的 HIV 相关失约情况。该研究使用所有初级保健提供者就诊，根据就诊结果将每个就诊分为失约或到场。采用广义估计方程（针对个体和站点内的重复测量）的逻辑回归模型，计算就诊方式失约的比值比（OR）及其 95%置信区间（CI）。多变量模型调整了社会人口统计学因素。与电话就诊相比，现场就诊（OR（95%CI）1.64（1.48-1.82））和现场就诊与视频就诊相比（OR（95%CI）1.53（1.25-1.85））失约的可能性更高。与电话和视频就诊相比，现场就诊失约的可能性显著更高。这表明远程医疗就诊可能是一种成功的 HIV 护理提供方法，甚至在 COVID-19 之后也是如此。
