结合取消实施和实施,促进采用普雷普通用准则:决定因素,策略和结果
Jahn Jaramillo1, Tyler S Bartholomew1, Audrey Harkness2
1Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Critical public health
|June 30, 2025
概括
停止执行旧的指导方针,并采用新的暴露前预防 (PrEP) 指导方针,对于有效的艾滋病毒预防至关重要. 需要有意的策略来克服障碍,并确保成功实施最新的CDC指南.
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:
- 疾病控制和预防中心 (CDC) 在2021年更新了暴露前预防 (PrEP) 指南,将重点转移到普遍讨论.
- 之前的基于风险的查指南需要重新实施,以便有效地采用新的建议.
研究的目的:
- 建议故意取消以前的CDC PrEP指南的实施,以促进新指南的采用.
- 绘制理论决定因素,策略和结果的地图,以消除旧的PrEP指导方针和实施新的PrEP指导方针.
主要方法:
- 使用实施科学框架的文献综述:实施研究综合框架 (CFIR),实施变革专家建议 (ERIC) 分类学以及覆盖范围,有效性,采用,实施和维护 (RE-AIM).
- 绘制理论决定因素和策略,以解决指导方针执行和执行中的障碍和促进因素.
主要成果:
- 确定了障碍:资源限制,员工能力和组织结构.
- 确定的促进者:提供者动机和激励系统.
- 建议的策略:使PrEP教育正常化,重新设计工作流程和任务转移.
结论:
- 故意不执行过时的PrEP指导方针对于成功采用新的CDC建议至关重要.
- 更新指南的战略实施可以增加PrEP转诊率,减少艾滋病毒发病率,支持国家艾滋病毒预防目标.
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