罗马尼亚的临床医疗服务提供者之间与耻辱相关的态度和做法
Cabiria M Barbosu1, Cezar Avirvarei2, Carmen Manciuc3
1University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
HIV medicine
|November 25, 2024
概括
罗马尼亚医疗保健提供者对艾滋病毒/艾滋病患者的耻辱感与缺乏反歧视政策和保密培训有关. 解决这些差距可以减少污名化的态度和做法.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 医疗保健政策 医疗保健政策
背景情况:
- 艾滋病毒/艾滋病感染者 (PLWHA) 面临着严重的耻辱和歧视,影响了他们的医疗保健经验.
- 医疗保健机构可以通过拒绝护理,违反保密和负面态度来延续耻辱.
- 了解罗马尼亚临床医生社区中的耻辱是改善PLWHA护理的关键.
研究的目的:
- 评估罗马尼亚医疗保健提供者之间与耻辱相关的信念和做法.
- 发现与艾滋病毒相关的耻辱感有助于培训差距.
- 为旨在减少医疗保健机构污名化的干预措施提供信息.
主要方法:
- 通过使用17个问题在线调查进行了分析性横截面研究.
- 该调查通过WhatsApp分发给摩尔多瓦和罗马尼亚东北部的医疗保健提供者.
- 在2023年8月1日至9月30日期间,从139名参与者收集了数据.
主要成果:
- 虽然大多数提供者并不担心照顾PLWHA,但许多人担心患者对艾滋病毒检测的反应,并认为同事犹不决.
- 17.3%的参与者报告了三种或更多的污名化态度或做法.
- 缺乏艾滋病毒歧视政策和缺乏保密培训显著预测了耻辱的态度和做法.
结论:
- 工作场所反歧视政策对于减轻医疗保健提供者之间与艾滋病毒相关的耻辱感至关重要.
- 提供者对艾滋病毒保密性的培训是减少耻辱化的做法的一个关键因素.
- 政策和培训干预对于改善罗马尼亚PLWHA医疗保健环境至关重要.
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