临床实践中的持续护理参与:美国针对艾滋病毒感染者的部分现行策略观点。

IF 4.2 2区 医学 Q1 INFECTIOUS DISEASES Expert Review of Anti-infective Therapy Pub Date : 2024-10-17 DOI:10.1080/14787210.2024.2412988
Merceditas S Villanueva, Darrell P Wheeler, Shauna Applin, Theo W Hodge, Barry Zack, Peter F Rebeiro
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引用次数: 0

摘要

导言:现代抗逆转录病毒疗法降低了艾滋病毒相关的发病率和死亡率。艾滋病病毒抑制和继续接受治疗是至关重要的结果,需要患者成功地持续参与。然而,这种参与的障碍非常复杂,需要创新的解决方案:一个由临床医生和服务提供研究人员组成的多方利益相关者专家小组汇聚一堂,旨在阐明什么是参与艾滋病护理,并确定该领域战略的总体主题。本文收集了专家的意见,并补充了有关当前最佳实践的相关文献:多方利益相关者小组强烈认为,更好地了解持续参与护理的促进因素至关重要。与 "继续接受护理 "不同,个人的 "参与护理 "是细微的、灵活的、不断变化的,并且需要患者、医疗服务提供者和其他主要利益相关者之间的持续沟通。以下方法强调了不同利益相关者层面的护理参与策略:1)患者层面:个性化护理和激励;2)诊所层面:包裹式、共同定位、以患者为中心的低障碍护理、多元化多学科团队、患者支持网络以及远程医疗的扩大使用;3)医疗保健系统层面:利用外部合作伙伴。基于对参与护理的质量方面更细致的了解,我们提出了一系列多样且互补的方法。
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Continuous care engagement in clinical practice: perspectives on selected current strategies for people with HIV in the United States.

Introduction: Modern antiretroviral therapy is associated with reduced rates of HIV-related morbidity and mortality. HIV viral suppression and retention in care are critically important outcomes requiring successful continuous patient engagement. However, barriers to such engagement are complex and require innovative solutions.

Areas covered: A multistakeholder group of experts comprising clinicians and service delivery researchers assembled to clarify what constitutes engagement in HIV care and identify overarching themes that inform strategies in this field. This article captures this expert opinion and adds relevant literature on selected current best practices.

Expert opinion: The multistakeholder group felt strongly that a better understanding of the facilitators of continuous care engagement was critical. Unlike 'retention in care,' 'engagement in care' for an individual is nuanced, flexible, evolves and requires ongoing communication between patients, providers, and other key stakeholders. The following approaches highlight care engagement strategies at different stakeholder levels: 1) patient-level: personalized care and incentivization; 2) clinic-level: wraparound, co-localized, patient-centered low-barrier care, a diverse multidisciplinary team, patient support networks, and expanded use of telemedicine; 3) healthcare system-level: utilization of external partnerships. We propose a series of diverse and complementary approaches based on a more nuanced understanding of the qualitative aspects of engagement in care.

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来源期刊
CiteScore
11.20
自引率
0.00%
发文量
66
审稿时长
4-8 weeks
期刊介绍: Expert Review of Anti-Infective Therapy (ISSN 1478-7210) provides expert reviews on therapeutics and diagnostics in the treatment of infectious disease. Coverage includes antibiotics, drug resistance, drug therapy, infectious disease medicine, antibacterial, antimicrobial, antifungal and antiviral approaches, and diagnostic tests.
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