美国艾滋病毒检测和与护理联系的创新和实施决定因素:系统性审查
Alithia Zamantakis1,2, James L Merle3, Artur Afln Queiroz1,4,5
1Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Implementation science communications
|October 9, 2024
概括
这次审查确定了1,739个决定性因素,用于美国的艾滋病毒检测和关联护理. 研究结果强调需要解决组织和系统层面的因素,以有效预防和治疗艾滋病毒.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 有效的艾滋病毒检测,诊断和关联护理对于结束美国艾滋病毒流行病至关重要.
- 了解影响艾滋病毒服务实施的因素对于优化公共卫生干预至关重要.
研究的目的:
- 系统地识别和综合与美国艾滋病毒检测,诊断和关联护理相关的创新和实施决定因素.
- 使用实施研究综合框架 (CFIR) 绘制这些决定因素的地图,以指导未来的实施工作.
主要方法:
- 在2020年11月至2022年1月期间,对文献数据库 (Ovid MEDLINE,PsycINFO,Web of Science) 进行了系统审查.
- 从186篇文章中提取数据,使用COVIDENCE软件,根据PRISMA声明指导.
- 根据CFIR框架分析了障碍物和促进因素.
主要成果:
- 总共有1,739个实施和创新决定因素被确定.
- 大多数决定因素与艾滋病毒检测有关,较少的确定与护理联系.
- 在CFIR的"内部设置"和"个人"领域中,最常见的决定因素是组织和系统层面的决定因素很少被确定.
结论:
- 本综合提供了对艾滋病毒检测和关联到护理的实施决定因素的全面概述,利用广泛引用的CFIR框架.
- 这些发现可以为更广泛的艾滋病毒科学领域提供信息,用于应用实施科学 (IS),以加快结束艾滋病毒流行病的努力.
- 这项工作强调了在HIV干预设计和实施中考虑多层次决定因素的重要性,包括组织和系统因素.
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