Clinical Care, Research, and Telehealth Services in the Era of Social Distancing to Mitigate COVID-19
Clinical Care, Research, and Telehealth Services in the Era of Social Distancing to Mitigate COVID-19
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DOI：
10.1007/s10461-020-02924-z
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发表时间：
2020-05-21
影响因子：
4.4
通讯作者：
Schneider, John
中科院分区：
文献类型：
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作者：
Young, Sean D.;Schneider, John
COVID-19 大流行及其相关政策有可能从根本上改变医疗保健服务和公共卫生干预措施的部署方式。 HIV 高危人群和/或感染者尤其受到 COVID-19 及相关政策的影响，因此了解和规划 COVID-19 可能影响与这些人群相关的临床护理和研究的方式非常重要。保持社交距离是 COVID-19 预防措施的基石，并遵循长期且明确的感染控制原则。感染控制的重点是减少与呼吸道飞沫的接触，并维持 6 英尺的缓冲区作为主要的遏制机制。美国各地已实施了包括居家令和关闭公共场所在内的重大公共卫生措施，以促进社交距离。医疗保健系统、公共卫生计划和个人客户护理方法被迫迅速适应这些感染控制措施，而通常没有基础设施或经验。完美的社交距离是没有机会暴露或接触的距离，这可以通过远程技术来实现。因此，研究并承诺远程医疗技术潜力的研究人员迫切需要展示这些工具如何快速适应新的临床环境。在本说明中，我们描述了集成技术的考虑因素，例如远程医疗；社交媒体、移动应用程序 (app) 和聊天机器人；和生物传感器/可穿戴设备进入临床艾滋病毒护理服务和研究，以及当前使用这些技术来适应因 COVID-19 大流行而面临艾滋病毒风险和/与艾滋病毒感染者不断变化的临床和研究需求的案例示例。
The COVID-19 pandemic and its related policies have the potential to fundamentally change how healthcare delivery and public health interventions are deployed. Populations at high-risk for and/or living with HIV are especially impacted by COVID-19 and related policies, making it important to understand and plan for ways that COVID-19 might affect clinical care and research related to these populations. Social distancing is the cornerstone of COVID-19 prevention responses and follows long-standing and clear infection control principles. Infection control has focused on decreasing exposure to respiratory droplets, and maintenance of a 6-foot buffer as the primary mechanism of containment. Dramatic public health measures, including stay-at-home orders and closing of public spaces, have been implemented across the US to facilitate social distancing. Medical care systems, public health programs, and individual client care approaches are forced to rapidly adapt to these infection control measures, often without infrastructure or experience on how to do so. The perfect social distance is one where there is no chance of exposure or contact, as can be done using remote technologies. Researchers who have studied and promised the potential of telehealth technologies therefore have an urgency to demonstrate how these tools might be quickly adapted for use in new clinical settings. In this Note, we describe considerations for integrating technologies, such as telemedicine; social media, mobile applications (apps), and chatbots; and biosensors/wearables into clinical HIV care delivery and research, as well as case examples of current uses of these technologies in adapting to the changing clinical and research needs among populations at risk for and/living with HIV as a result of the COVID-19 pandemic.