探索障碍和可能的解决方案,以非利用基于设施的综合咨询和测试中心使用德尔菲技术的障碍
Reenaa Mohan1, Pravin Surendran2, M Rajalakshmi3
1Assistant Professor, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Indian journal of public health
|June 27, 2024
概括
由于耻辱和隐私问题,许多人避免在综合咨询和测试中心接受预测试辅导. 解决方案包括有针对性的咨询,改进的环境和基于电话的选项,以提高服务利用率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 许多人群,包括产前检查 (ANC) 的母亲,手术患者和性传播疾病诊所的参与者,犹不决地接受预测咨询.
- 这种不情愿阻碍了获得关键卫生服务的机会.
研究的目的:
- 识别阻碍利用基于设施的综合咨询和测试中心 (F-ICTC) 服务的障碍.
- 探索和提出有效的解决方案,以改善F-ICTC咨询的采用.
主要方法:
- 第一阶段涉及对13名F-ICTC利益相关者进行深入采访和排名,以确定障碍和解决方案.
- 第二阶段使用了17名专家组成的Delphi小组,通过邮件邀请来改进潜在的解决方案.
主要成果:
- 确定的主要障碍包括对疾病的恐惧,隐私问题,不接受,性别偏见,社会耻辱,歧视和与疾病相关的忽视.
- 共识解决方案包括:解决未回答的问题,培养有利的医院环境,实施零歧视政策,为ANC母亲和等待患者提供小组咨询,并提供电话咨询和健康教育活动.
结论:
- 实施特定于环境的,主动的,基于证据的干预措施是必不可少的.
- 这些干预措施可以显著提高F-ICTC咨询和测试服务的利用率.
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