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The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group

Introduction: The COVID-19 pandemic has been challenging time for medical care, especially in the field of infectious diseases (ID), but it has also provided an opportunity to introduce new solutions in HIV management. Here, we investigated the changes in HIV service provision across Central and Eas...

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Autores principales: Skrzat-Klapaczyńska, Agata, Kowalska, Justyna D., Afonina, Larisa, Antonyak, Svitlana, Balayan, Tatevik, Begovac, Josip, Bursa, Dominik, Dragovic, Gordana, Gokengin, Deniz, Harxhi, Arjan, Jilich, David, Kase, Kerstin, Lakatos, Botond, Mardarescu, Mariana, Matulionyte, Raimonda, Oprea, Cristiana, Panteleev, Aleksandr, Papadopoulos, Antonios, Sojak, Lubomir, Tomazic, Janez, Vassilenko, Anna, Vasylyev, Marta, Verhaz, Antonija, Yancheva, Nina, Yurin, Oleg, Horban, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265352/
https://www.ncbi.nlm.nih.gov/pubmed/35805250
http://dx.doi.org/10.3390/ijerph19137595
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author Skrzat-Klapaczyńska, Agata
Kowalska, Justyna D.
Afonina, Larisa
Antonyak, Svitlana
Balayan, Tatevik
Begovac, Josip
Bursa, Dominik
Dragovic, Gordana
Gokengin, Deniz
Harxhi, Arjan
Jilich, David
Kase, Kerstin
Lakatos, Botond
Mardarescu, Mariana
Matulionyte, Raimonda
Oprea, Cristiana
Panteleev, Aleksandr
Papadopoulos, Antonios
Sojak, Lubomir
Tomazic, Janez
Vassilenko, Anna
Vasylyev, Marta
Verhaz, Antonija
Yancheva, Nina
Yurin, Oleg
Horban, Andrzej
author_facet Skrzat-Klapaczyńska, Agata
Kowalska, Justyna D.
Afonina, Larisa
Antonyak, Svitlana
Balayan, Tatevik
Begovac, Josip
Bursa, Dominik
Dragovic, Gordana
Gokengin, Deniz
Harxhi, Arjan
Jilich, David
Kase, Kerstin
Lakatos, Botond
Mardarescu, Mariana
Matulionyte, Raimonda
Oprea, Cristiana
Panteleev, Aleksandr
Papadopoulos, Antonios
Sojak, Lubomir
Tomazic, Janez
Vassilenko, Anna
Vasylyev, Marta
Verhaz, Antonija
Yancheva, Nina
Yurin, Oleg
Horban, Andrzej
author_sort Skrzat-Klapaczyńska, Agata
collection PubMed
description Introduction: The COVID-19 pandemic has been challenging time for medical care, especially in the field of infectious diseases (ID), but it has also provided an opportunity to introduce new solutions in HIV management. Here, we investigated the changes in HIV service provision across Central and Eastern European (CEE) countries before and after the COVID-19 outbreak. Methods: The Euroguidelines in Central and Eastern Europe Network Group consists of experts in the field of ID from 24 countries within the CEE region. Between 11 September and 29 September 2021, the group produced an on-line survey, consisting of 32 questions on models of care among HIV clinics before and after the SARS-CoV-2 outbreak. Results: Twenty-three HIV centers from 19 countries (79.2% of all countries invited) participated in the survey. In 69.5% of the countries, there were more than four HIV centers, in three countries there were four centers (21%), and in four countries there was only one HIV center in each country. HIV care was based in ID hospitals plus out-patient clinics (52%), was centralized in big cities (52%), and was publicly financed (96%). Integrated services were available in 21 clinics (91%) with access to specialists other than ID, including psychologists in 71.5% of the centers, psychiatrists in 43%, gynecologists in 47.5%, dermatologists in 52.5%, and social workers in 62% of all clinics. Patient-centered care was provided in 17 centers (74%), allowing consultations and tests to be planned for the same day. Telehealth tools were used in 11 centers (47%) before the COVID-19 pandemic outbreak, and in 18 (78%) after (p = 0.36), but were represented mostly by consultations over the telephone or via e-mail. After the COVID-19 outbreak, telehealth was introduced as a new medical tool in nine centers (39%). In five centers (28%), no new services or tools were introduced. Conclusions: As a consequence of the COVID-19 pandemic, tools such as telehealth have become popularized in CEE countries, challenging the traditional approach to HIV care. These implications need to be further evaluated in order to ascertain the best adaptations, especially for HIV medicine.
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spelling pubmed-92653522022-07-09 The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group Skrzat-Klapaczyńska, Agata Kowalska, Justyna D. Afonina, Larisa Antonyak, Svitlana Balayan, Tatevik Begovac, Josip Bursa, Dominik Dragovic, Gordana Gokengin, Deniz Harxhi, Arjan Jilich, David Kase, Kerstin Lakatos, Botond Mardarescu, Mariana Matulionyte, Raimonda Oprea, Cristiana Panteleev, Aleksandr Papadopoulos, Antonios Sojak, Lubomir Tomazic, Janez Vassilenko, Anna Vasylyev, Marta Verhaz, Antonija Yancheva, Nina Yurin, Oleg Horban, Andrzej Int J Environ Res Public Health Article Introduction: The COVID-19 pandemic has been challenging time for medical care, especially in the field of infectious diseases (ID), but it has also provided an opportunity to introduce new solutions in HIV management. Here, we investigated the changes in HIV service provision across Central and Eastern European (CEE) countries before and after the COVID-19 outbreak. Methods: The Euroguidelines in Central and Eastern Europe Network Group consists of experts in the field of ID from 24 countries within the CEE region. Between 11 September and 29 September 2021, the group produced an on-line survey, consisting of 32 questions on models of care among HIV clinics before and after the SARS-CoV-2 outbreak. Results: Twenty-three HIV centers from 19 countries (79.2% of all countries invited) participated in the survey. In 69.5% of the countries, there were more than four HIV centers, in three countries there were four centers (21%), and in four countries there was only one HIV center in each country. HIV care was based in ID hospitals plus out-patient clinics (52%), was centralized in big cities (52%), and was publicly financed (96%). Integrated services were available in 21 clinics (91%) with access to specialists other than ID, including psychologists in 71.5% of the centers, psychiatrists in 43%, gynecologists in 47.5%, dermatologists in 52.5%, and social workers in 62% of all clinics. Patient-centered care was provided in 17 centers (74%), allowing consultations and tests to be planned for the same day. Telehealth tools were used in 11 centers (47%) before the COVID-19 pandemic outbreak, and in 18 (78%) after (p = 0.36), but were represented mostly by consultations over the telephone or via e-mail. After the COVID-19 outbreak, telehealth was introduced as a new medical tool in nine centers (39%). In five centers (28%), no new services or tools were introduced. Conclusions: As a consequence of the COVID-19 pandemic, tools such as telehealth have become popularized in CEE countries, challenging the traditional approach to HIV care. These implications need to be further evaluated in order to ascertain the best adaptations, especially for HIV medicine. MDPI 2022-06-21 /pmc/articles/PMC9265352/ /pubmed/35805250 http://dx.doi.org/10.3390/ijerph19137595 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Skrzat-Klapaczyńska, Agata
Kowalska, Justyna D.
Afonina, Larisa
Antonyak, Svitlana
Balayan, Tatevik
Begovac, Josip
Bursa, Dominik
Dragovic, Gordana
Gokengin, Deniz
Harxhi, Arjan
Jilich, David
Kase, Kerstin
Lakatos, Botond
Mardarescu, Mariana
Matulionyte, Raimonda
Oprea, Cristiana
Panteleev, Aleksandr
Papadopoulos, Antonios
Sojak, Lubomir
Tomazic, Janez
Vassilenko, Anna
Vasylyev, Marta
Verhaz, Antonija
Yancheva, Nina
Yurin, Oleg
Horban, Andrzej
The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title_full The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title_fullStr The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title_full_unstemmed The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title_short The Management of HIV Care Services in Central and Eastern Europe: Data from the Euroguidelines in Central and Eastern Europe Network Group
title_sort management of hiv care services in central and eastern europe: data from the euroguidelines in central and eastern europe network group
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265352/
https://www.ncbi.nlm.nih.gov/pubmed/35805250
http://dx.doi.org/10.3390/ijerph19137595
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