Lessons Learned from the Pathways to Community Health Study to Evaluate the Transition of Care from Jail to Community for Men with HIV.
Lessons Learned from the Pathways to Community Health Study to Evaluate the Transition of Care from Jail to Community for Men with HIV.
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DOI：
10.1089/apc.2021.0060
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发表时间：
2021-09
影响因子：
4.9
通讯作者：
Wurcel AG
中科院分区：
文献类型：
--
作者：
Dong KR;Daudelin DH;Koutoujian PJ;Cabrera A;Pezzullo O;Grossman A;Siddiqi K;Khorasani S;Wurcel AG
在监狱中度过的时间可以提供提供全面的医疗保健，包括艾滋病毒的筛查和治疗;然而，对艾滋病毒的护理往往是零散的。确定如何改善艾滋病毒感染者（PWH）从监狱到社区的护理过渡可能有助于参与艾滋病毒护理后释放。我们评估了马萨诸塞州一所监狱目前的艾滋病护理过渡过程，并确定了改变思路，以促进改善从监狱到社区的照顾PWH的过渡。我们在2018-2019年对感染艾滋病毒的被监禁男子（n = 17），监狱工作人员（n = 7）和社区提供者（n = 6）进行了定性访谈，以了解监狱释放前的艾滋病毒护理过程和释放后的护理参与。从这些访谈中获得的数据和质量改进工具被用来确定改善威尔斯亲王医院释放过程的方法，例如使用释放计划清单，以帮助确保提供30天的艾滋病毒药物供应，并在释放后30天内与社区提供者预约。我们发现，沟通过程中的效率低下，有关艾滋病毒护理团队和病例管理人员之间的了解发布日期，防止提供艾滋病毒药物的释放。我们与监狱管理人员合作，寻找改善释放前规划过程的方法，这对成功的艾滋病毒护理的连续性至关重要。质量改进方法的使用产生了一系列可测试的变更想法，以改进发布计划过程，从而更好地与疾病控制和预防中心的指导方针保持一致，这对PWH和公共卫生有影响。
Time spent in jail can provide opportunities to deliver comprehensive medical care, including screening and treatment for HIV; however, engagement in HIV care postrelease is often fragmented. Identifying ways to improve the transition of care from jail to community for people with HIV (PWH) may help with engagement in HIV care postrelease. We evaluated the current HIV care transition processes of one jail in Massachusetts and identified change ideas to facilitate improving the transition of care from the jail to the community for PWH. We conducted qualitative interviews in 2018–2019 with incarcerated men with HIV (n = 17), jail staff (n = 7), and community providers (n = 6) to understand the processes of HIV care prerelease from the jail and engagement in care on release. Data from these interviews and quality improvement tools were used to identify ways to improve the release process for PWH, such as using a release planning checklist, to help ensure that a 30-day supply of HIV medication and an appointment with a community provider within 30 days of release were provided. We identified communication process inefficiencies related to knowing release dates between the HIV care team and case managers that prevented providing HIV medications on release. We worked with jail administrators to find ways to improve the prerelease planning process, which is vital to the continuity of successful HIV care. The use of quality improvement methods generated a list of testable change ideas to improve the release planning process to better align with the Centers for Disease Control and Prevention guidelines, which has implications for PWH and public health.
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影响因子：
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作者：
Haley DF;Golin CE;Farel CE;Wohl DA;Scheyett AM;Garrett JJ;Rosen DL;Parker SD
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