在埃塞俄比亚西北部的差异化抗逆转录病毒疗法服务中实施共享决策的障碍和促进者:对政策和实践的影响
Yihalem Abebe Belay1,2, Mezgebu Yitayal2, Asmamaw Atnafu2
1Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
MDM policy & practice
|September 20, 2024
概括
在差异化抗逆转录病毒疗法 (DART) 中,共享决策 (SDM) 受患者,提供者,组织和卫生系统因素的影响. 改善SDM需要患者教育,医疗保健工作者培训,以及对DART的可访问的决策辅助工具.
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
- 定性研究是指质量研究.
背景情况:
- 分享决策 (SDM) 对于开始分化抗逆转录病毒疗法 (DART) 的患者至关重要.
- 关于影响埃塞俄比亚DART提供SDM的因素的经验证据有限.
- 本研究探讨了埃塞俄比亚西北部DART中SDM的障碍和促进因素.
研究的目的:
- 确定影响DART服务中SDM实施的障碍和促进者.
- 提供基于证据的建议,以加强DART计划中的SDM.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 17名患者和15名医疗保健提供者参加了埃塞俄比亚西北部的研究.
- 用MAXQDA软件进行数据分析,采用了主题分析.
主要成果:
- 在患者,提供者,组织和卫生系统层面出现了十个主题.
- 患者的信任和教育,提供者对DART的熟悉,患者与提供者的关系,工作量,资源,DART模型的可用性和提供者的参与是关键主题.
- 障碍包括患者教育水平,提供者对DART的不熟悉,工作量以及提供者不参与DART模型启动.
结论:
- 许多因素在多个层面影响SDM在DART提供.
- 建议包括提供患者决策辅助工具,培训医疗保健工作者,教育患者,并确保为SDM提供足够的资源和空间.
- 政策制定者和项目经理应处理资源背景,以便在DART中有效实施SDM.
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