The Impact of COVID-19 on HIV Care Provided via Telemedicine-Past, Present, and Future.
The Impact of COVID-19 on HIV Care Provided via Telemedicine-Past, Present, and Future.
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DOI：
10.1007/s11904-021-00543-4
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发表时间：
2021-04
影响因子：
4.6
通讯作者：
Wood BR
中科院分区：
文献类型：
--
作者：
Budak JZ;Scott JD;Dhanireddy S;Wood BR
本综述总结了在COVID-19大流行之前和期间通过远程医疗提供的艾滋病毒护理，并强调了研究领域，以告知未来在艾滋病毒临床实践中最佳使用远程医疗。为解决COVID-19大流行造成的护理障碍，监管机构和付款人放弃了长期存在的限制，使远程医疗在全国范围内迅速扩展。初步数据显示，提供者和艾滋病毒感染者（PWH）认为远程医疗有利。一些数据表明，远程医疗促进了护理的保留，但其他研究发现，尽管提供视频和/或电话访问，但越来越多的PWH失访和病毒学抑制率恶化。2019冠状病毒病大流行加剧了艾滋病毒护理连续体的差距。为了帮助减轻影响，大多数诊所都采用了新的虚拟护理选项，现在正在评估使用情况、影响和问题。需要进一步研究远程医疗对艾滋病毒护理的影响，并继续努力实现普及。
This review summarizes HIV care delivered via telemedicine before and during the COVID-19 pandemic and highlights areas of study to inform optimal usage of telemedicine in HIV clinical practice in the future. To address barriers to care created by the COVID-19 pandemic, regulatory agencies and payors waived longstanding restrictions, which enabled rapid expansion of telemedicine across the country. Preliminary data show that providers and persons with HIV (PWH) view telemedicine favorably. Some data suggest telemedicine has facilitated retention in care, but other studies have found increasing numbers of PWH lost to follow-up and worsened virologic suppression rates despite offering video and/or telephone visits. The COVID-19 pandemic has exacerbated gaps in the HIV care continuum. To help mitigate the impact, most clinics have adopted new virtual care options and are now evaluating usage, impact, and concerns. Further research into the effects of telemedicine on HIV care and continued work towards universal access are needed.
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