"我们将在这里":提供者对实施修订后的艾滋病毒护理协调计划的观点
Connor Emmert1, Tigran Avoundjian1, Mary Irvine1
1New York City Department of Health and Mental Hygiene (NYC Department of Health), Bureau of Hepatitis, HIV, and STIs, Queens, New York, USA.
AIDS patient care and STDs
|June 12, 2025
概括
艾滋病毒护理协调计划提高了参与度,但提供者面临着疲劳和文书工作等挑战. 通过更好的支持和简化流程来调整这些计划是持续影响的关键.
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
- 艾滋病毒/艾滋病研究研究
背景情况:
- 尽管结果有所改善,但在艾滋病病毒抑制和护理参与方面存在持续的差异.
- 社会经济因素,心理健康,种族主义和耻辱加剧了这些差异.
- 艾滋病毒护理协调计划 (CCP) 旨在解决障碍,但需要适应.
研究的目的:
- 检查提供者识别的障碍和促进者,以便在纽约市实施重新设计的艾滋病毒护理协调计划 (CCP).
- 了解如何提高CPT的有效性和可持续性.
主要方法:
- 进行了30次半结构面试,与来自六个机构的提供者进行了面试,这些机构提供了修订后的CCP.
- 专注于重新设计计划的实施挑战和成功.
主要成果:
- 供应商发现,修订后的中央对手的灵活,以客户为中心的方法对参与有效.
- 关键障碍包括增加的文书工作,不切实际的期望,人力不足和供应商倦怠.
- 专注的员工被确定为一个关键的促进者.
结论:
- 保持以客户为中心的模式对于HIV护理协调是有价值的.
- 建议简化行政任务,加强提供者支持,增加员工比例.
- 根据提供者反调整干预措施,可以改善实施和可持续性.
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