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Evaluating the delivery of care by telemedicine for incarcerated people living with HIV: a cohort study.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      HIV Infections*/therapy ; Telemedicine* ; COVID-19*/therapy ; COVID-19*/epidemiology ; Prisoners*; Humans ; Male ; Female ; Adult ; Middle Aged ; Cohort Studies ; Delivery of Health Care ; SARS-CoV-2 ; Tennessee
    • نبذة مختصرة :
      Background: The use of telemedicine has grown significantly since the COVID-19 pandemic and has the potential to improve access to specialized care for otherwise underserved populations. Incarcerated people living with HIV (PLWH) could potentially benefit from expanded access to HIV care through telemedicine.
      Methods: All PLWH who were incarcerated within the Tennessee Department of Corrections and received care through the HIV telemedicine clinic at Regional One Hospital between 5/1/2019 through 2/28/2022 were identified from the electronic health records (EHR). Demographics, laboratory data, vaccine history, and treatment outcomes were abstracted from the EHR. Retention in care and viral suppression were defined using Centers for Disease Control and Prevention definitions.
      Results: Of the 283 incarcerated PLWH receiving care from this telemedicine clinic, 78% remained retained in care and 94% achieved or maintaining viral suppression at 12 months. Many preventative care measures remained unperformed or undocumented, including vaccinations and testing for concurrent sexually transmitted infections. There were 56 patients (20%) found to have chronic hepatitis C in this population, with 71% either cured or still on treatment in this study period.
      Conclusions: Retention in care and viral suppression rates were excellent among incarcerated PLWH receiving telemedicine care for their HIV. HIV related primary health care screenings and vaccinations, however, were less consistently documented and represent areas for improvement.
      (© 2024. The Author(s).)
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    • Contributed Indexing:
      Keywords: HIV; HIV care continuum; Hepatitis C; Telehealth; Telemedicine
    • الموضوع:
      Date Created: 20240722 Date Completed: 20240723 Latest Revision: 20240725
    • الموضوع:
      20240726
    • الرقم المعرف:
      PMC11265178
    • الرقم المعرف:
      10.1186/s12879-024-09528-1
    • الرقم المعرف:
      39039476