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Prevalence, incidence, mortality and co-morbidities amongst human immunodeficiency virus ( HIV) patients in Stockholm County, Sweden - The Greater Stockholm HIV Cohort Study

机译:瑞典斯德哥尔摩县人类免疫缺陷病毒(HIV)患者的患病率,发病率,死亡率和合并症-大斯德哥尔摩HIV队列研究

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The objective of this study was to develop a multidisciplinary guideline that supports the care and vocational rehabilitation of HIV-infected people with employment-related problems. The guideline was developed according to the "evidence-based guideline development" method developed by the Dutch Institute for Health Care Improvement. This method consists of the following steps: forming a multidisciplinary core group and an expert panel, formulating key questions, searching and appraising the available literature, formulating considerations and recommendations, peer reviewing the draft guideline, and authorizing the final guideline. All relevant professional associations were represented in the core group that was assembled to develop the guideline, i.e., HIV doctors, HIV nurses, general practitioners, occupational health physicians, psychologists, social workers, occupational health nurses, vocational experts, and insurance physicians. Five key questions for the guideline were formulated with the following themes: determinants of employment, disclosure and stigma, self-management, interventions, and the organization of care. In the literature review on these topics, 45 studies met the inclusion criteria. The methodological quality of the included articles was poor. Factors such as patient preferences and medical/ethical issues were considered. The recommendations in the guideline are a weighting of the scientific evidence and the considerations of the core group. The guideline, as well as its summary for daily practice, clarifies the most important barriers and facilitators to people with HIV either staying at work or returning to work, and it constitutes a clinical, easy-to-use guideline for health-care providers and how they can support people with HIV who want to work.
机译:这项研究的目的是制定一项多学科指南,以支持患有就业相关问题的艾滋病毒感染者的护理和职业康复。该指南是根据荷兰卫生保健改善研究所开发的“循证指南制定”方法制定的。该方法包括以下步骤:组成一个多学科的核心小组和一个专家小组,提出关键问题,搜索和评估现有文献,提出考虑和建议,同行评审指南草案,并授权最终指南。所有相关的专业协会均参加了制定指南的核心小组,即HIV医生,HIV护士,全科医生,职业健康医生,心理学家,社会工作者,职业健康护士,职业专家和保险医生。该指南的五个关键问题以下列主题为基础:就业的决定因素,披露和污名,自我管理,干预措施和护理组织。在有关这些主题的文献综述中,有45项研究符合纳入标准。所包括文章的方法学质量很差。考虑了诸如患者偏好和医疗/道德问题等因素。指南中的建议是对科学证据和核心小组考虑因素的权衡。该指南及其日常实践摘要阐明了艾滋病毒感染者在工作中或重返工作所面临的最重要的障碍和促进因素,它构成了针对医疗服务提供者和患者的易于使用的临床指南。他们如何支持想要工作的艾滋病毒感染者。

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