在荷兰的全科医生中心实施艾滋病毒小组,以改善艾滋病毒指标条件导向测试
Carlijn C E Jordans1, Lotte Niemantsverdriet-Rokx2, Jan L Struik2
1Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3015 CN, The Netherlands. c.jordans@erasmusmc.nl.
BMC primary care
|December 28, 2024
概括
在荷兰一般实践中实施艾滋病毒小组并没有增加对指标条件的艾滋病毒检测. 尽管患者接受度高,全科医生信心高,但检测率仍然很低,这凸显了将知识转化为实践的差距.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 一般实践 医学 医学
背景情况:
- 指导方针建议对艾滋病毒指标进行条件导向测试,以确定未被诊断的感染.
- 一般医生 (GPs) 经常错过了在患有指标状况的患者中进行HIV检测的机会.
- 这项研究评估了艾滋病毒小组对荷兰城市GP中心艾滋病毒检测实践的影响.
研究的目的:
- 评估是否实施艾滋病毒小组,利用训练有素的GP大使,改善了城市GP中心的艾滋病毒指标条件导向测试.
- 评估一阶段性干预措施的有效性,包括对艾滋病毒检测率的教育和同行反.
主要方法:
- 从2021年5月到2023年3月,在三个全科医生中心进行了前性实施研究.
- 该干预涉及由艾滋病毒专家领导的教育,护理点测试和GP大使的同行对同行病例反.
- 患者和医生问卷评估了经验和信仰;主要结果是整体艾滋病毒检测率.
主要成果:
- 在132,338次访问中,诊断出846种艾滋病毒指标状况;25.4%的患者在实施后接受了艾滋病毒检测.
- 在干预阶段之间,艾滋病毒检测率相似 (25.2%对25.9%),与实施前的比率相似 (21.3%对25.4%).
- 性传播感染,无法解释的体重减轻和淋巴腺病是常见的指标状况;三个患者 (1.4%) 检测出艾滋病毒阳性.
结论:
- 在这种低艾滋病毒流行率的环境中,实施艾滋病毒小组并没有显著提高艾滋病毒指标条件导向测试.
- 患者接受度高和GP自我感知知识并没有转化为艾滋病毒检测率的增加.
- 一般医生对艾滋病毒指标条件的认知知识与实际的艾滋病毒检测实践之间存在差异.
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