在美国紧急部门的样本中进行艾滋病毒查,2022-2023年
Christopher L Bennett1, Carson E Clay1, Janice A Espinola2
1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Public health reports (Washington, D.C. : 1974)
|November 7, 2024
概括
紧急诊所 (ED) 很少提供常规的艾滋病毒查. 担心成本会严重影响ED中艾滋病毒查的实施,这表明需要更多的资金和资源.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健管理的管理
背景情况:
- 紧急诊所 (ED) 对公共卫生至关重要,但很少提供常规的人类免疫缺陷病毒 (HIV) 查.
- 这种差距仍然存在,尽管针对人口是结束艾滋病毒流行病倡议的核心.
研究的目的:
- 根据他们的艾滋病毒查实践对美国ED进行分类.
- 确定与在EDs执行常规艾滋病毒查相关的因素.
主要方法:
- 随机抽取美国ED主任的样本被调查.
- 收集的数据包括ED级别,患者级别的特征以及对预防服务的感知障碍.
- 描述性统计和回归建模被用于分析.
主要成果:
- 常规对艾滋病毒进行查的ED有较高的患者数量,更频繁的教学医院,并且有更大的社会工作者可用性.
- 在选ED时,董事不太可能表达对成本的强烈担忧.
- 回归分析发现,成本问题是抑制艾滋病毒查的重要因素 (RR=0.13).
结论:
- 常规的艾滋病毒查在美国EDS中并不总是提供.
- 财政问题是实施艾滋病毒查计划的重要障碍.
- 增加资金和资源可能是必要的,以促进艾滋病毒查在ED设置.
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