Re-thinking Linkage to Care in the Era of Universal Test and Treat: Insights from Implementation and Behavioral Science for Achieving the Second 90
Re-thinking Linkage to Care in the Era of Universal Test and Treat: Insights from Implementation and Behavioral Science for Achieving the Second 90
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DOI：
10.1007/s10461-019-02541-5
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发表时间：
2019-09-01
影响因子：
4.4
通讯作者：
Hoffmann, Christopher J.
中科院分区：
文献类型：
--
作者：
Herce, Michael E.;Chi, Benjamin H.;Hoffmann, Christopher J.
为了成功地与护理联系起来，艾滋病毒感染者必须通过一系列复杂的过程，从艾滋病毒诊断到与艾滋病毒护理系统和提供者的初步接触。尽管涉及复杂性，但与护理的联系往往被过分简化，并被描述为一个单一的转诊步骤。在这篇文章中，我们提供了一个新的概念框架的联系，以照顾，适合目前的普遍测试和治疗的时代，提出联系照顾作为自己的细微差别的途径内更大的艾滋病毒护理级联。以这种方式将护理联系概念化可能有助于更好地确定和具体说明阻碍联系的过程，并允许制定有针对性的实施和基于行为科学的方法来解决这些问题。这些方法可能与资源有限和艾滋病毒负担高的方案和临床环境最相关。
To successfully link to care, persons living with HIV must negotiate a complex series of processes from HIV diagnosis through initial engagement with HIV care systems and providers. Despite the complexity involved, linkage to care is often oversimplified and portrayed as a single referral step. In this article, we offer a new conceptual framework for linkage to care, tailored to the current universal test and treat era that presents linkage to care as its own nuanced pathway within the larger HIV care cascade. Conceptualizing linkage to care in this way may help better identify and specify processes posing a barrier to linkage, and allow for the development of targeted implementation and behavioral science-based approaches to address them. Such approaches are likely to be most relevant to programmatic and clinical settings with limited resources and high HIV burden.