Designing and Disseminating Metrics to Support Jurisdictional Efforts to End the Public Health Threat Posed by HIV Epidemics
Designing and Disseminating Metrics to Support Jurisdictional Efforts to End the Public Health Threat Posed by HIV Epidemics
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DOI：
10.2105/ajph.2019.305398
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发表时间：
2020-01-01
影响因子：
12.7
通讯作者：
Nash, Denis
中科院分区：
文献类型：
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作者：
Nash, Denis
美国卫生与公众服务部启动了一项旨在“结束美国艾滋病毒流行”(ETH)的大规模计划，包括未来5到10年的雄心勃勃的目标和指标。要想成功，eTH计划将需要及时传播相关指标，以告知有能力采取行动支持该计划目标的广泛利益相关者。指标应包括人口健康结果指标和实施指标，以跟踪特定干预交付战略的部署和采用。除了将所有艾滋病毒携带者包括在分母中的常见艾滋病毒护理连续指标外，专门针对尚未达到的人(即作为分母)的指标对于帮助实现这些努力至关重要。需要特别注意为艾滋病毒相关的健康差异提供信息并推动采取行动的指标和目标。精心选择的指标和精心设计的传播系统可以作为重要工具，评估ethe计划的进展情况，并在司法管辖区内和司法管辖区之间迅速确定和传播吸取的经验教训，以结束艾滋病毒对当地公共卫生的威胁。
The US Department of Health and Human Services has launched a large-scale plan that aims to "End the HIV Epidemic" (EtHE) in America, including ambitious goals and targets over the next 5 to 10 years.To be successful, the EtHE Plan will require timely dissemination of relevant metrics to inform the broad array of stakeholders who are in a position to act in support of the plan's goals. Metrics should include both population health outcome metrics and implementation metrics that track the deployment and uptake of specific intervention delivery strategies. In addition to the usual HIV care continuum metrics that include all people living with HIV in the denominator, metrics dedicated to those not yet reached (i.e., as the denominator) are essential to help target EtHE implementation efforts. Special attention is required around metrics and targets that inform and drive action on HIV-related health disparities.Well-chosen metrics and a well-designed dissemination system can serve as important tools to assess the progress of the EtHE Plan, and to identify and disseminate lessons learned quickly within and across jurisdictions aiming to end HIV as a local public health threat.