促进者和障碍物,公平实施远程医疗PrEP交付:计划工作人员和利益相关者的定性描述性研究
Stephen Bonett1, Anna Sweeney1, Qian Li1
1The University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
远程医疗暴露前预防 (PrEP) 改善了获得艾滋病毒预防的机会,但数字营销可能会排除某些群体. 专注的员工和资金是关键,但意识和技术访问仍然是障碍.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 扩大接触前预防 (PrEP) 的机会对于结束艾滋病毒流行和减少健康差异至关重要.
- 远程医疗模式提供了一种有希望的方法来提高PrEP的获取,接受和遵守.
研究的目的:
- 确定远程医疗暴露前预防 (PrEP) 服务的实施决定因素.
- 探索在费城通过远程医疗提供PrEP的促进者和障碍.
主要方法:
- 使用9次深入采访与项目工作人员和外部利益相关者进行的定性描述性研究.
- 半结构面试以"实施研究综合框架" (CFIR) 为指导.
- 主题分析以确定关键的实施因素.
主要成果:
- 虽然TelePrEP增强了方便性和灵活性,但在线营销可能会排除数字上边缘化的群体.
- 专注的患者导航员和员工培训是促进者;有限的提供者能力是一个挑战.
- 可持续融资为没有保险的患者提供了服务,但数字沟和低意识构成了障碍.
结论:
- 远程医疗PrEP可以扩大服务的可用性,并达到服务不足的社区.
- 克服公共意识,技术获取和组织能力等结构性障碍对于成功实施至关重要.
- 解决数字沟和提高PrEP意识对于吸引优先人群至关重要.
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