比利时的艾滋病毒暴露前预防 (PrEP) 护理:关于PrEP使用者的经验和服务提供偏好的混合方法研究
Anke Rotsaert1, Jef Vanhamel2, Thibaut Vanbaelen3
1Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, B-2000, Belgium.
比利时的PrEP使用者对艾滋病毒诊所感到满意,但面临障碍. 许多人愿意让家庭医生参与艾滋病毒暴露前预防护理,这表明需要提供差异化的服务.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 比利时的艾滋病毒暴露前预防 (PrEP) 服务主要由专门的艾滋病毒诊所提供.
- 优化PrEP的吸收和保留需要了解用户对护理的看法.
研究的目的:
- 探索 PrEP 用户在比利时提供 PrEP 服务的经验和偏好.
- 评估是否愿意将家庭医生 (FP) 参与PrEP护理.
主要方法:
- 连续混合方法设计,结合基于网络的纵向调查 (n=326) 和半结构面试 (n=21).
- 使用了描述性分析,物流回归和主题分析.
主要成果:
- 调查受访者表示对艾滋病毒诊所护理的满意度很高.
- 障碍包括成本和整合挑战. 随着时间的推移,51.9%的人愿意让FP参与PrEP护理.
- 对FP专业知识的信任和不判断的态度是参与FP的意愿的关键因素.
结论:
- 有差异化的PrEP服务提供模式,包括家庭医生,可以增强以客户为中心的护理.
- 解决障碍和利用值得信赖的医疗保健提供者可以改善PrEP的可访问性和遵守性.
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