在高收入国家的牙科机构进行点照顾艾滋病毒检测:混合方法系统审查
J Doughty1,2, C Tran3, A J Santella4
1Department of Epidemiology & Public Health, Faculty of Pop Health Sciences, University College London, London, UK.
Community dentistry and oral epidemiology
|June 1, 2024
概括
牙科机构的点诊艾滋病毒检测 (POCT) 显示出有前途的普及率,与其他非专业医疗机构相比. 成功的关键因素包括员工培训,整合到常规预约,并解决患者与医生关系方面的问题.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 牙科公共卫生 牙科公共卫生
背景情况:
- 扩大艾滋病毒检测对于消除传播至关重要.
- 牙科机构提供了一个新的场所,用于点护理艾滋病毒检测 (POCT) 干预.
- 多种不同的干预策略需要对牙科环境中的艾滋病毒检测进行审查.
研究的目的:
- 综合牙科设置干预研究中的艾滋病毒检测结果.
- 确定牙科机构中POCT干预的核心组成部分.
- 了解在牙科环境中实施艾滋病毒检测的障碍和促进因素.
主要方法:
- 进行了混合方法系统审查.
- 研究使用混合方法评估工具进行了评估.
- 使用TIDieR检查清单绘制了干预组件,并主题分析了障碍物/促进者.
主要成果:
- 对22,146名牙科患者提供了治疗点艾滋病毒检测 (POCT),其中62.5%接受.
- 更高的采用率与专注的员工,综合测试,当天结果和提供商发起的通用测试有关.
- 关于牙科环境中艾滋病毒检测的障碍和促进者的六个主题出现了.
结论:
- 牙科机构的HIV POCT吸收率与其他非专业医疗环境相美.
- 成功实施取决于感知价值,患者的态度,物流整合,管理耻辱感和适应牙科工作流程.
- 在牙科环境中优化POCT需要解决这些操作和心理社会因素.
相关概念视频
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Managed Care System:
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Managed Care System:
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