Clinical Outcomes after the Implementation of a Patient-Centered Care Program Applied to Newly Admitted People with HIV in Mexico City: a Retrospective Cohort Study | AMiner
Clinical Outcomes after the Implementation of a Patient-Centered Care Program Applied to Newly Admitted People with HIV in Mexico City: a Retrospective Cohort Study
Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”
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摘要
Although antiretroviral therapy (ART) has improved life expectancy in people living with HIV (PWH), sustained HIV care remains a critical challenge. The Newly Admitted Patients Program (NAPP), a local Patient-Centered Care (PCC) intervention, was implemented for patients admitted via the HIV clinic. We aimed to evaluate clinical outcomes (loss to follow-up (LTFU), hospitalization, treatment discontinuation (TD), virologic failure, and mortality) among participants in NAPP versus non-participants (No-NAPP). We conducted a retrospective cohort study at a single tertiary-care center, including PWH from January 2015 to December 2023. Participants were followed from enrollment in the HIV clinic to their last visit. Clinical, demographic, and laboratory variables were analyzed, and adjusted logistic regression was used to identify factors associated with clinical outcomes. We included 758 participants: 387 (51.1
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关键词
People living with HIV,Patient-centered care,Clinical outcomes,Newly admitted patients,Mental health screening,Psychoeducation.