改善安大略省艾滋病毒护理级联的障碍和促进因素:混合方法研究
Lawrence Mbuagbaw1,2,3,4,5,6, Saranee Fernando7,8, Chloe Lee9
1Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, ON, L8S4L8, Canada. mbuagblc@mcmaster.ca.
BMC health services research
|January 10, 2024
概括
在安大略省实施有效的艾滋病毒护理策略是可行的,虚拟护理和客户教育作为关键促进者. 解决接入障碍和提高专业卫生工作者专业知识对于改善对艾滋病毒感染者 (PLH) 护理的参与至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健提供系统
背景情况:
- 参与护理对于艾滋病毒感染者 (PLH) 实现最佳健康结果至关重要.
- 艾滋病毒护理级联的有效策略包括改善治疗开始,抗逆转录病毒疗法 (ART) 坚持和保持护理.
- 之前的研究确定了移动健康,激励和咨询作为关键干预措施.
研究的目的:
- 调查在加拿大安大略省实施基于证据的艾滋病毒护理级联干预措施的障碍和促进者.
- 了解医疗保健工作者和PLH对干预实施的看法.
- 确定提高PLH护理参与度的策略.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 对医疗保健工作者进行了定量调查,以确定障碍物和促进者.
- 根据理论领域框架的指导,与医疗保健工作者和PLH进行了定性深度访谈,解释了定量发现.
主要成果:
- 安大略省的诊所实施了治疗启动,ART坚持和保留治疗的干预措施,尽管存在资源问题.
- 障碍包括物理/财务访问,定制护理的工作负载和专业知识.
- 虚拟护理,客户教育和同行支持成为重要促进者.
结论:
- 安大略省的诊所正在实施基于证据的策略,以加强PLH的参与.
- 需要更多的医疗保健工作者,他们有能力满足PLH的独特需求.
- 虚拟护理为医疗保健提供者和PLH提供了好处,支持持续的参与.
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