Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care
Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care
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DOI：
10.1089/apc.2019.0261
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发表时间：
2020-04-01
影响因子：
4.9
通讯作者：
Giordano, Thomas P.
中科院分区：
文献类型：
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作者：
Dandachi, Dima;Dang, Bich N.;Giordano, Thomas P.
远程保健可以解决被确定为艾滋病毒护理保留障碍的许多因素。在这项研究中，我们探讨了艾滋病毒感染者（PWH）的态度，使用远程医疗艾滋病毒护理，而不是面对面的诊所访问。我们对2018年2月至6月在德克萨斯州休斯顿的一家艾滋病门诊中心就诊的PWH进行了一次性调查。调查项目被用来评估PWH的态度和关注的远程医疗和解释变量; 371名参与者完成了调查;中位年龄为51岁，36%是女性，63%是非洲裔美国人。总体而言，与一对一的面对面护理相比，57%的受访者更有可能使用远程保健进行艾滋病毒护理，37%的受访者经常或总是使用远程保健作为诊所就诊的替代方案。参与者报告了许多好处，包括能够更好地适应他们的日程安排，减少旅行时间和隐私，但对有效沟通和检查的能力以及个人信息的安全表示担忧。与使用远程保健的可能性相关的因素包括个人因素（美国出生、男男性行为者、较高的教育程度、对艾滋病毒相关的耻辱感较高）、艾滋病毒相关因素（长期存在的艾滋病毒）和结构性因素（难以参加诊所就诊、不了解或没有必要的技术）。参与者与不受控制的艾滋病毒，药物依从性和使用远程医疗的可能性之间没有关联。PWH的远程医疗计划可以提高护理的保留率。使用各种远程医疗技术的可用性和信心需要得到解决，以提高PWH之间的远程医疗的可接受性和使用。
Telehealth could address many of the factors identified as barriers for retention in HIV care. In this study, we explore people with HIV (PWH)'s attitudes about using telemedicine for HIV care instead of face-to-face clinic visits. We administered a one-time survey to PWH presenting to an outpatient HIV center in Houston, Texas, from February to June 2018. The survey items were used to assess PWH's attitudes toward and concerns for telehealth and explanatory variables; 371 participants completed the survey; median age was 51, 36% and were female, and 63% was African American. Overall 57% of respondents were more likely to use telehealth for their HIV care if available, as compared with one-on-one in-person care, and 37% would use telehealth frequently or always as an alternative to clinic visits. Participants reported many benefits, including ability to fit better their schedule, decreasing travel time, and privacy but expressed concerns about the ability to effective communication and examination and the safety of personal information. Factors associated with likelihood of using telehealth include personal factors (US-born, men who have sex with men, higher educational attainment, higher HIV-related stigma perception), HIV-related factors (long-standing HIV), and structural factors (having difficulty attending clinic visits, not knowing about or not having the necessary technology). There was no association between participants with uncontrolled HIV, medication adherence, and likelihood of using telehealth. Telehealth programs for PWH can improve retention in care. Availability and confidence using various telehealth technologies need to be addressed to increase acceptability and usage of telehealth among PWH.