Integrating community health workers into HIV care teams: Impact on HIV care outcomes

IF 0.4 Q4 SOCIAL WORK

Journal of HIV-AIDS & Social Services Pub Date : 2020-06-30 DOI:10.1080/15381501.2020.1785364

M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez

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引用次数: 11

Abstract

Abstract Objectives To assess the impact of a Community Health Worker (CHW) intervention within HIV primary care on patient outcomes. Methods We evaluated a 10-site initiative integrating CHWs into HIV care, examining changes in three outcomes: viral load suppression, a prescription for ART, and appointment attendance. We also assessed the relationship between the three outcomes and the number of CHW encounters. Results Of 397 participants, most were male and African-American. The mean days of encounters over the first 6 months was 11 per participant. All outcomes improved in the first 6 months: percent with a primary care visit from 49.9 to 84.7% (p < .000); percent with an active ART prescription from 66.9 to 91.3% (p < .000); percent virally suppressed from 22.4 to 43.7% (p < .000). No statistically significant relationship between number of encounters and improvement in outcomes was found. Conclusions CHW interventions in HIV primary care can lead to improvements in HIV outcomes.

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将社区卫生工作者纳入艾滋病毒护理小组:对艾滋病毒护理结果的影响

摘要目的评估社区卫生工作者（CHW）在HIV初级保健中的干预对患者结果的影响。方法我们评估了一项将CHW纳入HIV护理的10个站点的倡议，检查了三个结果的变化：病毒载量抑制、ART处方和预约。我们还评估了这三种结果与CHW遭遇次数之间的关系。结果在397名参与者中，大多数是男性和非裔美国人。前6个月的平均接触天数为每位参与者11天。所有结果在前6个月都有所改善：初级保健就诊的百分比从49.9%提高到84.7%（p < .000）；使用活性ART处方的百分比为66.9%至91.3%（p < .000）；病毒抑制率从22.4%降至43.7%（p < .000）。在遭遇次数和结果改善之间没有发现统计学上的显著关系。结论CHW在HIV初级保健中的干预可以改善HIV的结果。

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

Journal of HIV-AIDS & Social Services SOCIAL WORK-

CiteScore

1.60

自引率

0.00%

发文量