A qualitative model of the HIV care continuum in Vancouver, Canada.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-04-04 eCollection Date: 2022-01-01 DOI:10.1080/20476965.2021.1906762

Benny Wai, Krisztina Vasarhelyi, Alexander R Rutherford, Chris Buchner, Reka Gustafson, Miranda Compton, Mark Hull, Jf Williams, Rolando Barrios

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引用次数: 0

Abstract

A team of health care stakeholders and researchers collaboratively developed a qualitative model and graphic representation of the continuum of HIV care in Vancouver to inform delivery of antiretroviral therapy and other HIV health services. The model describes the patient journey through the HIV care continuum, including states of infection, health services, and care decisions. We used a Unified Modelling Language (UML) activity diagram to capture patient and provider activities and to guide the construction of a UML state machine diagram. The state machine diagram captures model agent states in a formalism that facilitates the development of system dynamics or agent-based models. These quantitative models can be applied to optimizing the allocation of resources, and to evaluate potential strategies for improved patient care and system performance. The novel approach of combining UML diagrams we present provides a general method for modelling capacity ---management strategies within complex health systems.

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加拿大温哥华HIV护理连续体的定性模型

摘要一个由卫生保健利益相关者和研究人员组成的团队合作开发了温哥华艾滋病毒护理连续性的定性模型和图形表示，为提供抗逆转录病毒疗法和其他艾滋病毒保健服务提供信息。该模型描述了患者在HIV护理连续体中的旅程，包括感染状态、卫生服务和护理决策。我们使用统一建模语言（UML）活动图来捕捉患者和提供者的活动，并指导UML状态机图的构建。状态机图以便于开发系统动力学或基于代理的模型的形式捕捉模型代理状态。这些定量模型可用于优化资源分配，并评估改善患者护理和系统性能的潜在策略。我们提出的结合UML图的新方法为复杂卫生系统中的能力管理策略建模提供了一种通用方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.