The Evolution of HIV Patient Retention and Care in French Guiana: A Broader View From the Système National des Données de Santé.

Autor:	Duplan H; Direction du Service Médical de la Sécurité Sociale, Cayenne, French Guiana., Rabier S; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Sudre C; Direction du Service Médical de la Sécurité Sociale, Cayenne, French Guiana., Adriouch L; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Lucarelli A; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Huber F; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Mutricy L; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Wojcik JM; General Medicine, Matoury, French Guiana., Vignier N; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana.; CIC INSERM 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Pascolini E; Direction du Service Médical de la Sécurité Sociale, Cayenne, French Guiana., Adenis A; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana.; CIC INSERM 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana., Nacher M; COREVIH Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana.; CIC INSERM 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.; Département Formation Recherche Santé, Université de Guyane, Cayenne, French Guiana.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 Feb 17; Vol. 10, pp. 823193. Date of Electronic Publication: 2022 Feb 17 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.823193
Abstrakt:	Background: Although the simplification of antiretroviral (AVR) treatment regimens and follow-up has led to fewer constraints for patients with HIV, their follow-up remains of paramount importance to optimize AVR therapy, to detect and prevent HIV-related morbidity, and prevent secondary infections. The problem of follow-up interruption in French Guiana has been persistent and seemingly impervious to efforts to alleviate it. Objective: The objective was to follow the trend of follow-up interruptions and to test the hypothesis that an increasing number of patients was, in fact, followed by private practitioners. Method: Using the complementary lenses of the hospital HIV cohort and the health insurance information system, we looked at the incidence of follow-up interruption and the proportion of patients followed by private practitioners. Results: We tallied 803 persons that were not known to have died and who were lost to follow-up. Over time, hospital outpatients were lost to follow-up significantly sooner. By contrast, there was a significant trend with more and more patients exclusively followed by private practitioners. Conclusion: While hospital outpatient care remains by far the most common mode of patient care, there seems to be a gradual erosion of this model in favor of private practice. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Duplan, Rabier, Sudre, Adriouch, Lucarelli, Huber, Mutricy, Wojcik, Vignier, Pascolini, Adenis and Nacher.)
Databáze:	MEDLINE
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