Improved virologic suppression with HIV subspecialty care in a large prison system using telemedicine: an observational study with historical controls.
Correctional populations have an elevated human immunodeficiency virus (HIV) prevalence, yet many individuals lack access to subspecialty care. Our study showed that HIV-infected inmates had significantly greater virologic suppression and higher CD4 T-lymphocyte counts when managed by a multidisciplinary team of subspecialists conducting clinics via telemedicine. In other studies, these outcomes have been associated with reductions on HIV-related morbidity and mortality, as well as HIV transmission.
Department of Medicine, Division of Infectious Diseases, Immunology and International Medicine.
Jeremy D
JD
Young
Department of Medicine, Division of Infectious Diseases, Immunology and International Medicine.
Mahesh
M
Patel
College of Pharmacy.
Melissa
M
Badowski
School of Public Health, University of Illinois at Chicago.
Mary Ellen
ME
Mackesy-Amiti
Department of Medicine, Division of Infectious Diseases, Immunology and International Medicine.
Pyrai
P
Vaughn
Illinois Department of Corrections, Chicago.
Louis
L
Shicker
Department of Medicine, Division of Infectious Diseases, Immunology and International Medicine.
Michael
M
Puisis
School of Public Health, University of Illinois at Chicago.
Lawrence J
LJ
Ouellet
D000293:Adolescent; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D015331:Cohort Studies; D006678:HIV / Q000302:isolation & purification*; D015658:HIV Infections / Q000188:drug therapy* / Q000276:immunology / Q000821:virology*; D006801:Humans; D008875:Middle Aged; D011330:Prisons; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome; D019562:Viral Load; D055815:Young Adult
D044966:Anti-Retroviral Agents
HIV; prisons; telehealth; telemedicine