背景:在西班牙,艾滋病毒仍然是一个与公共卫生密切相关的问题。这项研究旨在进行分析,以提供深入的资源知识,临床护理,和诊断过程中的管理,后续行动,以及西班牙艾滋病毒感染的治疗阶段。
方法:在第一阶段,一个多学科科学委员会以调查的形式设计了一个信息收集工具。在第二阶段,在安达卢西亚的自治区进行,加泰罗尼亚,还有LaRioja,由42名专家组成的多学科小组,公共行政代表,临床资料,艾滋病毒领域的非政府组织代表回答了调查。
结果:对HIV资源的评估总体上是阳性的。关于诊断,专家认为,初级护理和医院护理之间有很好的协调。关于治疗,评估反映了对治疗性调解和坚持的良好意见,在评估与抗逆转录病毒治疗的药物相互作用方面持否定态度。关于后续行动,关于医院和初级保健之间的协调以及护理对慢性的适应,所表达的看法是不同的,老化,脆弱,心理健康,和肿瘤过程。
结论:在西班牙艾滋病毒感染者的艾滋病毒感染管理中,可以改进某些过程,包括在疾病的治疗和随访中,基层和医院之间的随访和协调方案。
BACKGROUND: HIV continues to represent a problem of great relevance for public health in Spain. This study aims to carry out an analysis that will provide in-depth knowledge of the resources, clinical care, and management during the diagnosis, follow-up, and treatment phases of HIV infection in Spain.
METHODS: In the first phase, a multidisciplinary Scientific Committee designed an information collection tool in the form of a survey. In the second phase, carried out in the autonomous communities of Andalusia, Catalonia, and La Rioja, a multidisciplinary group of 42 experts, representatives of the public administration, clinical profiles, and representatives of NGOs in the field of HIV answered the survey.
RESULTS: The assessment of HIV resources is generally positive. As regards diagnosis, the experts considered that there was good coordination between Primary and Hospital care. Regarding treatment, the evaluations reflected good opinions on therapeutic conciliation and adherence, with a negative opinion in the evaluation of drug interactions with antiretroviral treatment. Regarding follow-up, the perception expressed was disparate concerning the coordination between Hospital and Primary Care as well as the adaptation of care to chronicity, aging, fragility, mental health, and oncological processes.
CONCLUSIONS: There are certain processes that can be improved in the management of HIV infection in people with HIV in Spain, including protocols for follow-up and coordination between primary and hospital care in the treatment and follow-up of the disease.