美国社区医疗环境中优化HIV初级保健交付的实践转型：一项项目实施研究

数据集获取（Figshare）

• 源站标题：Practice transformations to optimize the delivery of HIV primary care in community healthcare settings in the United States: A program implementation study
• DOI：10.1371/journal.pmed.1003079
• 发布日期：2020-03-26
• 文件数：2 个
• 文件总体积：106.14 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Practice_transformations_to_optimize_the_delivery_of_HIV_primary_care_in_community_healthcare_settings_in_the_United_States_A_program_implementation_study/12035037

命令行下载

curl -L -o "pmed.1003079.s001.doc" "https://ndownloader.figshare.com/files/22117821"
curl -L -o "pmed.1003079.s002.docx" "https://ndownloader.figshare.com/files/22117824"

文件清单

• pmed.1003079.s001.doc（84.99 KB）
• pmed.1003079.s002.docx（21.15 KB）

文件总体积 106.14 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
The United States HIV care workforce is shrinking, which could complicate service delivery to people living with HIV (PLWH). In this study, we examined the impact of practice transformations, defined as efficiencies in structures and delivery of care, on demonstration project sites within the Workforce Capacity Building Initiative, a Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS).
Methods and findings
Data were collected at 14 demonstration project sites in 7 states and the District of Columbia. Organizational assessments were completed at sites once before and 4 times after implementation. They captured 3 transformation approaches: maximizing the HIV care workforce (efforts to increase the number of existing healthcare workforce members involved in the care of PLWH), share-the-care (team-based care giving more responsibility to midlevel providers and staff), and enhancing client engagement in primary HIV care to reduce emergency and inpatient care (e.g., care coordination). We also obtained Ryan White HIV/AIDS Program Services Reports (RSRs) from sites for calendar years (CYs) 2014–2016, corresponding to before, during, and after transformation. The RSR include data on client retention in HIV care, prescription of antiretroviral therapy (ART), and viral suppression. We used generalized estimating equation (GEE) models to analyze changes among sites implementing each practice transformation approach. The demonstration projects had a mean of 18.5 prescribing providers (SD = 23.5). They reported data on more than 13,500 clients per year (mean = 969/site, SD = 1,351). Demographic characteristics remained similar over time. In 2014, a majority of clients were male (71% versus 28% female and 0.2% transgender), with a mean age of 47 (interquartile range [IQR] 37–54). Racial/ethnic characteristics (48% African American, 31% Hispanic/Latino, 14% white) and HIV risk varied (31% men who have sex with men; 31% heterosexual men and women; 7% injection drug use). A substantial minority was on Medicaid (41%). Across sites, there was significant uptake in practices consistent with maxi

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pmed.1003079（source: https://plos.figshare.com/articles/dataset/Practice_transformations_to_optimize_the_delivery_of_HIV_primary_care_in_community_healthcare_settings_in_the_United_States_A_program_implementation_study/12035037）。