Telemedicine Use Among People With HIV in 2021: The Hybrid-Care Environment.
J Acquir Immune Defic Syndr
; 92(3): 223-230, 2023 03 01.
Article
in English
| MEDLINE | ID: covidwho-2240482
ABSTRACT
BACKGROUND:
Telemedicine use for the care of people with HIV (PWH) significantly expanded during the COVID-19 pandemic. During 2021, vaccine uptake increased and patients were encouraged to resume in-person care, resulting in a mixture of in-person and telemedicine visits. We studied how different patient populations used telemedicine in this hybrid-care environment.METHODS:
Using observational data from patients enrolled in the Johns Hopkins HIV Clinical Cohort, we analyzed all in-person and telemedicine HIV primary care visits completed in an HIV clinic from January 1st, 2021, to December 31st, 2021. We used log-binomial regression to investigate the association between patient characteristics and the probability of completing a telemedicine versus in-person visit and the probability of completing a video versus telephone visit.RESULTS:
A total of 5518 visits were completed by 1884 patients; 4282 (77.6%) visits were in-person, 800 (14.5%) by phone, and 436 (7.9%) by video. The relative risk (RR) of completing telemedicine vs. in-person visits was 0.65 (95% Confidence Interval (CI) 0.47, 0.91) for patients age 65 years or older vs. age 20-39 years; 0.84 (95% CI 0.72, 0.98) for male patients vs. female patients; 0.81 (95% CI 0.66, 0.99) for Black vs. White patients; 0.62 (95% CI 0.49, 0.79) for patients in the highest vs. lowest quartile of Area Deprivation Index; and 1.52 (95% CI 1.26, 1.84) for patients >15 miles vs. <5 miles from clinic.CONCLUSIONS:
In the second year of the pandemic, overall in-person care was used more than telemedicine and significant differences persist across subgroups in telemedicine uptake.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
HIV Infections
/
Telemedicine
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Topics:
Vaccines
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Young adult
Language:
English
Journal:
J Acquir Immune Defic Syndr
Journal subject:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Year:
2023
Document Type:
Article
Affiliation country:
Qai.0000000000003124
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