在初级保健中普遍提供艾滋病毒检测:试点研究的混合方法评估
Rhys Wenlock1, Syra Dhillon1, Sean Perera1
1University Hospitals Sussex NHS Foundation Trust, Worthing, UK.
International journal of STD & AIDS
|December 7, 2023
概括
在初级保健中在常规血液检查期间提供艾滋病毒检测是可行的和可以接受的. 采用的主要障碍是医疗保健专业人员不向符合条件的患者提供该测试.
科学领域:
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
- 预防传染病 预防传染病
背景情况:
- 自2016年以来,国家卫生和护理卓越研究所 (NICE) 的指导方针建议在初级保健中进行普遍的艾滋病毒检测.
- 在英国初级保健机构采用常规艾滋病毒检测仍然不够理想.
- 这项研究评估了将艾滋病毒检测纳入常规血液检测预约中的可接受性和可行性.
研究的目的:
- 评估患者和医疗保健专业人员 (HCP) 接受血液抽取期间的常规艾滋病毒检测.
- 确定在初级保健中实施通用艾滋病毒检测服务的可行性.
- 为了确定障碍和促进艾滋病毒测试在这个环境中的吸收障碍和促进者.
主要方法:
- 在英国一家全科医院进行了为期3周的试点研究.
- 混合方法方法包括测试报价和接受的定量数据,以及定性半结构面试.
- 分析了患者人口统计学 (年龄,性别) 与测试提供和接受的关联.
主要成果:
- 在参加血液检测的251名患者中,46.6%被提供HIV检测,78.6%接受. 在提供或接受方面没有发现人口统计学差异.
- 患者采访表明,该报价被认为是例行性和非判断性的;负面结果的短信是可以接受的.
- 医疗保健专业人员报告说没有显著的服务水平障碍,但根据个人医疗保健工作者,提供测试的患者比例有所不同.
结论:
- 在初级保健中,在血液检查期间进行常规的艾滋病毒检测是可行的和可接受的策略.
- 增加艾滋病毒检测的首要障碍是医疗保健专业人员不一致地提供检测.
- 优化艾滋病毒检测需要解决医疗保健人员在向符合条件的患者提供检测的做法.
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