Our stories, our lives, our health: Refining an automated identification of HIV-negative, PrEP-eligible women in the emergency department

我们的故事、我们的生活、我们的健康：完善对急诊科 HIV 阴性且符合 PrEP 资格的女性的自动识别

• 批准号: 9927458
• 负责人: Amy Kristen Johnson
• 金额: $ 8.83万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-23 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9927458
• 关键词: AIDS prevention; Accident and Emergency department; Administrator; Area; Automation; Caring; Centers for Disease Control and Prevention (U.S.); Chicago; Cities; Clinic; Collaborations; Communities; Computerized Medical Record; Counseling; Data; Data Sources; Diagnosis; Education; Eligibility Determination; Emergency Care; Future; Geography; Goals; HIV; HIV Infections; HIV Seronegativity; HIV diagnosis; Health; Healthcare; Healthcare Systems; Heterosexuals; Individual; Infection; Intervention; Interview; Knowledge; Medical emergency; Medicine; Methods; Modeling; Newly Diagnosed; Not Hispanic or Latino; Patients; Performance; Populations at Risk; Prevalence; Prevention; Primary Health Care; Process; Provider; Public Health; Research Personnel; Risk; Structure; System; Techniques; Testing; Time; Triage; United States; Universities; Update; Woman; cisgender; cost; design; implementation research; improved; innovation; open source; pre-exposure prophylaxis; prevent; public health intervention; sex; social; uptake

PROJECT SUMMARY/ABSTRACT Pre-exposure prophylaxis, or PrEP, is a highly effective biomedical intervention to prevent HIV acquisition among at risk populations. PrEP offers an individual-controlled prevention method that is effective and safe. From 2014 to 2016, only 2% of women who have indication for PrEP received a prescription. Known individual level barriers to PrEP uptake among women include low rates of PrEP knowledge, low perceived risk of HIV acquisition, and barriers around how and where to access PrEP. Identification of women who may be at increased risk for HIV by healthcare systems is a key public health intervention that has potential to reduce new HIV infections. This study seeks to refine the automation of identification of PrEP-eligible cis-gender women using the electronic medical record system and other electronic open source and geospatial data through identifying commonalities among women newly diagnosed with HIV. As current quantitative indicators perform suboptimally, we will seek to establish commonalities among women with recent HIV infection to refine performance of the model. Using the Consolidated Framework for Implementation Research (CFIR), we will develop an implementation plan for utilization of the refined automated identification of HIV-negative, PrEP- eligible women in the emergency department. Improving identification of PrEP-eligible HIV-negative women in an emergency medical setting will likely influence uptake and is a low-cost, innovative solution to identification of potential PrEP-users. As strategies to increase PrEP uptake among women are under-studied, it is important to refine approaches for optimal performance.

项目摘要/摘要 暴露前预防，或PrEP，是一种预防艾滋病毒感染的高效生物医学干预措施 在高危人群中。PREP提供了一种有效和安全的个人控制的预防方法。 从2014年到2016年，有PrEP指征的女性中只有2%获得了处方。已知个人 女性接受PrEP的水平障碍包括PrEP知识知晓率低，艾滋病毒感染风险低 收购，以及关于如何以及在哪里访问PrEP的障碍。妇女的身份可能是在 医疗保健系统增加艾滋病毒风险是一项关键的公共卫生干预措施，有可能减少 新的艾滋病毒感染。这项研究旨在完善符合PrEP条件的顺式性别识别的自动化 使用电子病历系统和其他电子开放源码和地理空间数据的妇女 通过确定新诊断为艾滋病毒的妇女的共同点。作为当前的量化指标 表现不佳，我们将寻求在最近感染艾滋病毒的女性中建立共性，以完善 模型的性能。利用实施研究综合框架，我们将 制定一项实施计划，以利用改进的艾滋病毒阴性自动识别，PrEP- 急诊科符合条件的女性。改善对符合PrEP条件的艾滋病毒阴性妇女的识别 紧急医疗环境可能会影响识别，是一种低成本、创新的身份识别解决方案 潜在的PrEP用户。由于增加女性PrEP摄取率的战略尚未得到研究， 重要的是改进方法以实现最佳性能。