Adherence to HIV Treatment and Care at a Rural Appalachian HIV Clinic

详细信息    查看全文

• 作者：R. David Parker ; PhD ; ^{rdparker@hsc.wvu.edu}Author Vitae ; Cara M. Mangine ; MPHAuthor Vitae ; Brian M. Hendricks ; MSciAuthor Vitae ; Michael J. Cima ; MPHAuthor Vitae ; Stacie Mcie ; RN ; BSN ; MBAAuthor Vitae ; Arif Sarwari ; MD ; MSc ; MBAAuthor Vitae
• 关键词：adherence to care ; clinical guidelines ; clinical services ; HIV ; provider care ; viral suppression
• 刊名：Journal of the Association of Nurses in AIDS Care
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：28
• 期：1
• 页码：67-74
• 全文大小：129 K
• 卷排序：28

文摘

Persons living with HIV (PLWH) in rural areas face different barriers to care and treatment adherence compared to persons in urban areas. Our project identified strategies used by a rural HIV clinic with high rates of viral suppression, as evidenced by data abstraction from medical records from January 2010 through December 2014, including 411 patients ages 18 years or older. As HIV viral load is used as a marker for adherence and impacts health outcomes and transmission, it is an important assay. The national goal is for 80% of PLWH to be virologically suppressed by the end of 2020. This clinic exceeded the goal in 2014 with observed rates of 80% to 90% suppression. Eleven national guidelines for HIV care have been adopted by this clinic, along with five additional evidence-based interventions. Nurses played a critical role in all of these methods, and our intent was to report success-related factors.