Effectiveness of online HIV treatment services in the context of the COVID-19 pandemic

Health Care Science Pub Date : 2023-06-09 DOI:10.1002/hcs2.54

Jing Han, Hanxi Zhang, Ye Su, Fujie Zhang

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Abstract

Background

The COVID-19 pandemic has created challenges with respect to HIV care services. Remote online services might provide an effective method for health service delivery to people living with HIV (PLHIV). Few studies have focused on the efficacy of telemedical services for PLHIV and the effect of antiretroviral treatment via online services in China.

Methods

We developed a platform called the “No. 8 Health” for online antiretroviral drug collection and delivery services in Beijing from January 21 to June 30, 2022. We evaluated the online treatment service according to viral load suppression rates and compared differences in social characteristics between PLHIV who received antiretroviral drugs through online or offline treatment services.

Results

By June 2022, 9528 PLHIV had received outpatient treatment services, among which 44.6% (4031/9528) used the online treatment and drug delivery services for a total of 5590 person-times. The satisfaction rate was 100%. Rates of viral load suppression among PLHIV who initiated antiretroviral therapy (ART) in 2020 and 2021 were 96.4% and 93.1%, respectively. Results showed that the viral load suppression rate was 97.9%. Regarding HIV rapid self-testing, 4513 men who have sex with men used the online HIV rapid testing service. The number of users was approximately the same as in 2021, but both were slightly lower than those in 2020.

Conclusion

This study was the first to evaluate the effect of online drug collection and delivery services and virologic outcomes among PLHIV in China. The online service helped with maintenance of ART services, but the COVID-19 pandemic still had some impacts on viral load suppression.

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新冠肺炎大流行背景下在线艾滋病毒治疗服务的有效性

背景新冠肺炎大流行给艾滋病毒护理服务带来了挑战。远程在线服务可能为向艾滋病毒感染者提供医疗服务提供一种有效的方法。在中国，很少有研究关注远程医疗服务对PLHIV的疗效以及通过在线服务进行抗逆转录病毒治疗的效果。方法我们开发了一个名为“8号健康”的平台，于2022年1月21日至6月30日在北京提供在线抗逆转录病毒药物收集和递送服务。我们根据病毒载量抑制率评估了在线治疗服务，并比较了通过在线或离线治疗服务接受抗逆转录病毒药物的PLHIV患者的社会特征差异。结果截至2022年6月，9528名PLHIV患者接受了门诊治疗，其中44.6%（4031/9528）使用了在线治疗和药物递送服务，共5590人次。满意度为100%。2020年和2021年开始抗逆转录病毒疗法（ART）的PLHIV患者的病毒载量抑制率分别为96.4%和93.1%。结果显示，病毒载量抑制率为97.9%。在艾滋病毒快速自我检测方面，4513名与男性发生性关系的男性使用了在线艾滋病毒快速检测服务。用户数量与2021年大致相同，但均略低于2020年。结论本研究首次评估了在线药物收集和递送服务在中国PLHIV人群中的效果和病毒学结果。在线服务有助于维持ART服务，但新冠肺炎大流行仍对病毒载量抑制产生了一些影响。

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

Health Care Science

CiteScore

0.90

自引率

0.00%

发文量