Safer in care: A pandemic-tested model of integrated HIV/OUD care.
Safer in care: A pandemic-tested model of integrated HIV/OUD care.
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DOI：
10.1016/j.drugalcdep.2021.109241
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发表时间：
2022-02-01
影响因子：
4.2
通讯作者：
Cropsey, Karen L.
中科院分区：
文献类型：
--
作者：
Eaton, Ellen F.;Tamhane, Ashutosh;Turner, Wesli;Raper, James L.;Saag, Michael S.;Cropsey, Karen L.
农村、贫困、艾滋病毒携带者和吸毒者是最容易受到SARS-CoV-2和相关卫生服务中断影响的人群。这项研究的目的是评估威斯汀医院在门诊阿片类药物治疗(OBOT)诊所的健康结果和利用情况。我们评估了2018年11月至2021年5月阿拉巴马大学伯明翰分校艾滋病毒诊所的一个临床队列。我们将极易感染艾滋病毒的OBOT患者的HIV结果与整个诊所进行了比较。我们根据共病的兴奋剂使用障碍对OBOT患者进行分层，并比较了阿拉巴马州实施安全在家任务(2020年5月)前后6个月的临床利用率和病毒载量抑制情况。在3857名威斯康星患者中，57人被转介至OBOT，48人参加，45人开始服用丁丙诺啡，35人在过去6个月内有VL<；200。与整个HIV诊所相比，OBOT患者保持VL抑制的可能性显著降低(90%对78%，p<0.01)。OBOT连锁后抑制的患者(81%)多于之前的患者(73%)。对于那些在2020年5月之前转诊的患者，在实施安全在家订单前后，病毒抑制情况没有变化(75%)。虽然新的OBOT转诊在大流行期间没有增加，但每月的就诊次数确实从每个患者3-4次的中位数增加了。与许多面对障碍的威尔斯亲王医院不同，在OBOT接受护理的威尔斯亲王医院并没有脱离护理，而是增加了医疗使用率，并在公共卫生紧急情况下保持了病毒抑制。
Rural, poor, persons with HIV (PWH) and substance use are among the most vulnerable to SARS-CoV-2 and related health service disruptions. The objective of the study was to evaluate the health outcomes and utilization of PWH at an Outpatient-based Opioid Treatment (OBOT) Clinic. We evaluated a clinic-based cohort at the University of Alabama at Birmingham HIV clinic from November 2018 to May 2021. We compared HIV outcomes of OBOT patients, who are highly vulnerable, to the overall clinic. We stratified OBOT patients according to comorbid stimulant use disorder and compared clinic utilization and viral load suppression in the 6 months before and after the safer at home mandate (May 2020) in Alabama. Of 3857 PWH, 57 were referred to OBOT, 48 attended, 45 were initiated on buprenorphine, and 35 had a VL< 200 in the last 6 months. Relative to the overall HIV clinic, OBOT patients were significantly less likely to remain VL suppressed (90% vs 78%, p = 0.01). More patients were suppressed after OBOT linkage (81%) than prior (73%). For those referred before May 2020, there was no change in viral suppression before and after the safer at home order (75%). Although new OBOT referrals did not increase during the pandemic, the number of visits attended per month did increase from a median of 3–4 per patient. Unlike many PWH who faced access barriers, PWH receiving care at OBOT did not fall out of care but increased healthcare utilization and maintained viral suppression despite the public health emergency.
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影响因子：
3
作者：
Pufall EL;Kall M;Shahmanesh M;Nardone A;Gilson R;Delpech V;Ward H;Positive Voices study group
通讯作者：
Positive Voices study group
影响因子：
33.9
作者：
Cranston, Kevin;Alpren, Charles;Demaria, Alfred, Jr.
通讯作者：
Demaria, Alfred, Jr.
DOI：
10.1093/infdis/jiab052
发表时间：
2021-03-29
期刊：
The Journal of infectious diseases
影响因子：
--
作者：
Eaton EF;Clement ME
通讯作者：
Clement ME
DOI：
10.1016/j.drugpo.2020.102958
发表时间：
2020-09
期刊：
The International journal on drug policy
影响因子：
--
作者：
Grebely J;Cerdá M;Rhodes T
通讯作者：
Rhodes T
DOI：
10.1080/09540121.2021.1874274
发表时间：
2021-12
影响因子：
1.7
作者：
Crane, Heidi M.;Nance, Robin M.;Whitney, Bridget M.;Ruderman, Stephanie;Tsui, Judith I.;Chander, Geetanjali;McCaul, Mary E.;Lau, Bryan;Mayer, Kenneth H.;Batey, D. Scott;Safren, Steven A.;Moore, Richard D.;Eron, Joseph J.;Napravnik, Sonia;Mathews, W. Chris;Fredericksen, Rob J.;Hahn, Andrew W.;Mugavero, Michael J.;Lober, William B.;Saag, Michael S.;Kitahata, Mari M.;Delaney, Joseph A. C.
通讯作者：
Delaney, Joseph A. C.