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快速互动:对实施快速ART的提供者方法进行定性研究

Lissa Moran¹, Kimberly A Koester², Noelle Le Tourneau²

¹Department of Medicine, University of California, 550 16Th Street, San Francisco, CA, USA. lissa.moran@ucsf.edu.

Implementation science communications

|July 14, 2023

概括

快速抗逆转录病毒疗法 (ART) 为艾滋病毒患者提供了更好的治疗结果. 专注于以患者为中心,情感支持和解决误解的提供者方法是成功实施快速ART的关键.

科学领域:

实施科学实施科学
公共卫生公共卫生
艾滋病毒医学艾滋病毒医学

背景情况:

快速抗逆转录病毒疗法 (ART) 改善了艾滋病毒患者的临床结果,但不是美国的标准实践.
现有的指导侧重于结构性实施,对提供者级互动的研究有限.
实施研究综合框架 (CFIR) 可以探索实施中的社会和个人因素.

研究的目的:

在快速ART中探索个体提供者对患者-提供者互动的方法.
确定提供商在提供快速ART时使用的主题和策略.
通过了解提供者的观点,为快速ART的更广泛实施提供信息.

主要方法:

在三个不同的艾滋病毒诊所设置中进行多地点定性研究.
采访了27名提供者信息者 (快速ART工作人员和临床医生).
使用CFIR指导的方法对采访数据进行主题分析.

主要成果:

出现了三个核心提供者主题:以患者为中心,情感支持/伙伴关系,以及纠正HIV误解.
这些主题包括概念方法和特定的患者信息传递示例.
扩展的提供者叙述说明了个人对快速ART交互的方法.

结论:

供应商层面的互动对于成功实施快速ART至关重要.
结果补充了现有的研究结果和系统层面的因素.
这些证据支持通过广泛采用快速ART来增强艾滋病毒护理模式.

关键词:

在CFIR中,CFIR是最重要的.在个人层面的实施.患者与医疗服务提供者之间的互动.提供商的消息传递.提供者叙述提供者叙述快速的艺术艺术.同一天开始开始.

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