PDF(Pubmed)
Abstract：
UNASSIGNED: Unmet needs for ancillary services are substantial among people with human immunodeficiency virus (PWH), and provider type could influence the prevalence of unmet needs for these services.
UNASSIGNED: Data from a national probability sample of PWH were analyzed from the Centers for Disease Control and Prevention\'s Medical Monitoring Project. We analyzed 2019 data on people who had ≥1 encounter with a human immunodeficiency virus (HIV) care provider (N = 3413) and their care facilities. We assessed the proportion of needs that were unmet for individual ancillary services, overall and by HIV care provider type, including infectious disease (ID) physicians, non-ID physicians, nurse practitioners, and physician assistants. We calculated prevalence differences (PDs) with predicted marginal means to assess differences between groups.
UNASSIGNED: An estimated 98.2% of patients reported ≥1 need for an ancillary service, and of those 46% had ≥1 unmet need. Compared with patients of ID physicians, needs for many ancillary services were higher among patients of other provider types. However, even after adjustment, patients of non-ID physicians had lower unmet needs for dental care (adjusted PD, -5.6 [95% confidence interval {CI}, -9.9 to -1.3]), and patients of nurse practitioners had lower unmet needs for HIV case management services (adjusted PD, -5.4 [95% CI, -9.4 to -1.4]), compared with patients of ID physicians.
UNASSIGNED: Although needs were greater among patients of providers other than ID physicians, many of these needs may be met by existing support systems at HIV care facilities. However, additional resources may be needed to address unmet needs for dental care and HIV case management among patients of ID physicians.
UNASSIGNED: Data from a national probability sample of PWH were analyzed from the Centers for Disease Control and Prevention\'s Medical Monitoring Project. We analyzed 2019 data on people who had ≥1 encounter with a human immunodeficiency virus (HIV) care provider (N = 3413) and their care facilities. We assessed the proportion of needs that were unmet for individual ancillary services, overall and by HIV care provider type, including infectious disease (ID) physicians, non-ID physicians, nurse practitioners, and physician assistants. We calculated prevalence differences (PDs) with predicted marginal means to assess differences between groups.
UNASSIGNED: An estimated 98.2% of patients reported ≥1 need for an ancillary service, and of those 46% had ≥1 unmet need. Compared with patients of ID physicians, needs for many ancillary services were higher among patients of other provider types. However, even after adjustment, patients of non-ID physicians had lower unmet needs for dental care (adjusted PD, -5.6 [95% confidence interval {CI}, -9.9 to -1.3]), and patients of nurse practitioners had lower unmet needs for HIV case management services (adjusted PD, -5.4 [95% CI, -9.4 to -1.4]), compared with patients of ID physicians.
UNASSIGNED: Although needs were greater among patients of providers other than ID physicians, many of these needs may be met by existing support systems at HIV care facilities. However, additional resources may be needed to address unmet needs for dental care and HIV case management among patients of ID physicians.
摘要：
■人类免疫缺陷病毒（PWH）患者对辅助服务的需求尚未满足，和提供商类型可能会影响这些服务未满足需求的普遍性。
■从疾病控制和预防中心的医疗监测项目中分析了来自PWH的国家概率样本的数据。我们分析了2019年与人类免疫缺陷病毒（HIV）护理提供者（N=3413）及其护理机构遭遇≥1次的人的数据。我们评估了个别辅助服务未满足的需求比例，总体而言，按艾滋病毒护理提供者的类型，包括传染病(ID)医生，非身份证医生，执业护士,和医生助理。我们用预测的边际均值计算了患病率差异（PD），以评估组间的差异。
■估计有98.2%的患者报告需要辅助服务，其中46%有≥1个未满足的需求。与ID医师的患者相比，其他提供者类型的患者对许多辅助服务的需求较高。然而,即使经过调整，非ID医师的患者对牙科护理的未满足需求较低(调整后的PD，-5.6[95%置信区间{CI}，-9.9至-1.3])，执业护士的患者对艾滋病毒病例管理服务的未满足需求较低(调整后的PD，-5.4[95%CI，-9.4至-1.4])，与ID医生的患者相比。
■尽管除ID医师以外的提供者的患者的需求更大，这些需求中的许多可以通过艾滋病毒护理机构的现有支持系统来满足。然而,可能需要额外的资源来解决ID医师的患者在牙科护理和HIV病例管理方面未满足的需求.
■从疾病控制和预防中心的医疗监测项目中分析了来自PWH的国家概率样本的数据。我们分析了2019年与人类免疫缺陷病毒（HIV）护理提供者（N=3413）及其护理机构遭遇≥1次的人的数据。我们评估了个别辅助服务未满足的需求比例，总体而言，按艾滋病毒护理提供者的类型，包括传染病(ID)医生，非身份证医生，执业护士,和医生助理。我们用预测的边际均值计算了患病率差异（PD），以评估组间的差异。
■估计有98.2%的患者报告需要辅助服务，其中46%有≥1个未满足的需求。与ID医师的患者相比，其他提供者类型的患者对许多辅助服务的需求较高。然而,即使经过调整，非ID医师的患者对牙科护理的未满足需求较低(调整后的PD，-5.6[95%置信区间{CI}，-9.9至-1.3])，执业护士的患者对艾滋病毒病例管理服务的未满足需求较低(调整后的PD，-5.4[95%CI，-9.4至-1.4])，与ID医生的患者相比。
■尽管除ID医师以外的提供者的患者的需求更大，这些需求中的许多可以通过艾滋病毒护理机构的现有支持系统来满足。然而,可能需要额外的资源来解决ID医师的患者在牙科护理和HIV病例管理方面未满足的需求.
