دورية أكاديمية
أعرض في EDS

Telemedicine and HIV Care Quality Measures During the COVID-19 Pandemic.

التفاصيل البيبلوغرافية
العنوان: Telemedicine and HIV Care Quality Measures During the COVID-19 Pandemic.
المؤلفون: Masters MC; Feinberg School of Medicine, Northwestern University, Chicago, IL., Rivera J; Howard Brown Health, Chicago, IL; and., Calamari M; Feinberg School of Medicine, Northwestern University, Chicago, IL., Wright K; Howard Brown Health, Chicago, IL; and., Janulis P; Feinberg School of Medicine, Northwestern University, Chicago, IL., Rusie L; Howard Brown Health, Chicago, IL; and., Bannon J; Feinberg School of Medicine, Northwestern University, Chicago, IL., Milne P; Feinberg School of Medicine, Northwestern University, Chicago, IL., Galvin SR; Feinberg School of Medicine, Northwestern University, Chicago, IL., Molina EG; Howard Brown Health, Chicago, IL; and., Hirschhorn LR; Feinberg School of Medicine, Northwestern University, Chicago, IL., Palella FJ; Feinberg School of Medicine, Northwestern University, Chicago, IL., Kumar R; Georgetown University, Washington, DC., Brown C; Howard Brown Health, Chicago, IL; and., Hawkins C; Feinberg School of Medicine, Northwestern University, Chicago, IL.
المصدر: Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2023 Sep 01; Vol. 94 (1), pp. 46-52.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 100892005 Publication Model: Print Cited Medium: Internet ISSN: 1944-7884 (Electronic) Linking ISSN: 15254135 NLM ISO Abbreviation: J Acquir Immune Defic Syndr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, Inc., c1999-
مواضيع طبية MeSH: COVID-19* , Telemedicine* , HIV Infections*/therapy , Communicable Disease Control*, Patient Acceptance of Health Care ; Chicago ; Humans ; Male ; Female ; Transgender Persons ; Adult ; Middle Aged
مستخلص: Background: During the COVID-19 pandemic, telemedicine was adopted to ensure continuity of HIV care. We examined how introducing televisits affected technical quality of care for people with HIV (PWH) during this time.
Methods: PWH receiving HIV care at Howard Brown Health Centers and Northwestern University in Chicago, Illinois were included. HIV care quality indicators were calculated using data extracted from electronic medical records during 4 timepoints every 6 months from March, March 1, 2020 to September 1, 2021. Generalized linear mixed models estimated differences in indicators across timepoints within each site while controlling for multiple observations of individuals. Generalized linear mixed models were also used to compare differences in outcomes among PWH who attended all versus a combination of in-person and televisits versus no televisits across the study time periods.
Results: 6447 PWH were included in the analysis. Compared with prepandemic levels, there were significant declines in care utilization and processes of care measures. Measures of HIV virologic suppression, blood pressure control, and HbA1C <7% (in both people with and without diabetes) were stable with no significant differences noted across the study timepoints. Similar trends were observed across all age, race, and sex subgroups. In multivariable models, televisits were not associated with decreased HIV viral suppression.
Conclusions: During the COVID-19 pandemic and rapid implementation of televisits, indicators of care utilization and processes of care decreased compared with prepandemic levels. Among PWH who remained in care, televisits were not associated with worse virologic, blood pressure, and glycemic control in PWH.
Competing Interests: The authors have no funding or conflicts of interest to disclose.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: P30 AG059988 United States AG NIA NIH HHS; P30 AI117943 United States AI NIAID NIH HHS; R03 AG067980 United States AG NIA NIH HHS
تواريخ الأحداث: Date Created: 20230627 Date Completed: 20230817 Latest Revision: 20230930
رمز التحديث: 20230930
مُعرف محوري في PubMed: PMC10526734
DOI: 10.1097/QAI.0000000000003238
PMID: 37368925
قاعدة البيانات: MEDLINE
الوصف
تدمد:1944-7884
DOI:10.1097/QAI.0000000000003238