The Use of Telehealth in the Treatment of HIV-AIDS

R. Marín-Navarrete, Ricardo Sánchez-Domínguez, C. Magis-Rodríguez
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Abstract

The use of telehealth has increased during the last few years due to the COVID-19 pandemic, since all the health systems were forced to limit the services offered to those who sought help, which significantly affected the treatment of every illness that was not related to said sickness (Doraiswamyet al., 2020). This also affected the services provided to people who live with HIV (PVVIH, according to term in Spanish) and it started the use of telehealth in several healthcare offers, which is understood as the remote healthcare services provided through telecommunications technology in order to help patients (Health Resources and Services Administration, 2022). The services that telehealth encases are psychoeducation, remote monitoring of medical conditions, psychological and psychiatric services, medical examinations through videoconferences and the review of medical records, among other activities that clinical personnel might be able to cover with the use of technology. Telehealth also meets the goal of diminishing the gap in the medical services provided to patients who receive attention regarding diverse mental, physical and psychological health problems. The evidence suggests that the results obtained through this modality are comparable with the services offered in an in-person appointment (Osenbach et al., 2013), they present drop-out rates similar to the face-to-face modality and acceptable levels of satisfaction (Chipps et al., 2020). Some of the ways in which telehealth has been used in ambulatory treatment centers are through detection and treatment programs based on computing equipment, phone apps, phone therapy and, recently, through clinical videoconferences (Fisher et al., 2021; Lai et al., 2020). The term “clinical videoconference” refers to an active videoconference held between a health service provider and a patient, with purposes that range between brief interventions to providing prescriptions and the management of medication (Lustgarten et al., 2020). The use of telehealth in the context of HIV has increased both the timely manner and the quality of the medical services, since it reduces the long commutes The Use of Telehealth in the Treatment of HIV-AIDS
远程保健在治疗艾滋病毒/艾滋病中的应用
由于新冠肺炎大流行,在过去几年中,远程医疗的使用有所增加,因为所有卫生系统都被迫限制向寻求帮助的人提供的服务,这严重影响了与上述疾病无关的每种疾病的治疗(Doraiswamyet等人,2020)。这也影响了为艾滋病毒感染者提供的服务(PVVIH,根据西班牙语中的术语),并开始在几项医疗服务中使用远程医疗,这被理解为通过电信技术提供的远程医疗服务,以帮助患者(卫生资源和服务管理局,2022)。远程医疗所包含的服务包括心理教育、医疗状况远程监测、心理和精神病服务、通过视频会议进行的体检和医疗记录审查,以及临床人员可能能够利用技术进行的其他活动。远程医疗还实现了缩小向关注各种心理、身体和心理健康问题的患者提供医疗服务的差距的目标。证据表明,通过这种方式获得的结果与面对面预约提供的服务相当(Osenbach等人,2013),它们呈现出与面对面方式相似的辍学率和可接受的满意度水平(Chipps等人,2020)。远程医疗在门诊治疗中心的一些使用方式是通过基于计算设备、电话应用程序、电话治疗的检测和治疗程序,以及最近通过临床视频会议(Fisher等人,2021;Lai等人,2020)。“临床视频会议”一词是指卫生服务提供者和患者之间举行的主动视频会议,其目的从短暂干预到提供处方和药物管理不等(Lustgarten等人,2020)。在感染艾滋病毒的情况下使用远程医疗,减少了长途通勤,提高了医疗服务的及时性和质量
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13
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