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Direct-acting antiviral treatment for HIV/HCV patients in safety net settings: patient and provider preferences

机译：安全网环境中HIV / HCV患者的直接作用抗病毒治疗：患者和提供者偏好

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HIV/HCV coinfected patients are a priority for direct acting antiretroviral (DAA) treatment, yet barriers to treating vulnerable patients persist. This study surveyed safety net clinic patients and providers to quantify their preferences for DAA treatment and prioritize modifiable barriers. Preferences were assessed using best-worst scaling. General linear mixed models were used to determine whether attributes differed in importance and whether patients and providers valued attributes differently. 158 HIV/HCV coinfected patients and 49 providers participated. Patients and providers had strong preferences for treatment within the medical homes where patients receive HIV care. Support such as reminders and advice numbers were also important, but were more important to providers than patients. Providers identified lack of insurance coverage for DAA as the most significant barrier. Providers rated HIV primary care providers as best suited to deliver DAA to HIV+ patients. Addressing structural barriers is essential for increasing DAA treatment in safety net settings.
机译：艾滋病毒/ HCV繁殖患者是直接代理抗逆转录病毒（DAA）治疗的优先事项，但治疗脆弱患者的障碍持续存在。本研究调查了安全净诊所患者和提供商，量化了对DAA治疗的偏好，并优先修改可修改的障碍。使用最糟糕的缩放评估偏好。通用线性混合模型用于确定重要性是否有所不同，以及患者和提供者是否有不同的估值。 158艾滋病毒/ HCV繁殖患者和49名供应商参加。患者和提供者对患者接受艾滋病毒护理的医疗院内治疗具有强烈的偏好。支持等提醒和建议号码也很重要，但对提供商比患者更重要。提供商确定DAA作为最重要的障碍保险覆盖范围。提供者评级HIV初级护理提供商最适合为HIV +患者提供DAA。解决结构障碍对于增加安全网设置中的DAA治疗至关重要。

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