在爱尔兰西部的初级保健中进行艾滋病毒检测:2013年至2023年之间的混合方法调查
Bearach Reynolds1, Ruth Naughton2, Niamh Lynn3
1Mater Hospital Catherine McAuley Education & Research Centre, Infectious Diseases Department, Mater Hospital, Dublin, Ireland bearachreynolds@gmail.com.
BJGP open
|July 3, 2025
概括
爱尔兰的全科医生对艾滋病毒检测表现出积极的态度,但对检测不足的担忧仍然存在. 一项调查显示,艾滋病毒的诊断增加,并且需要在一般实践中制定更明确的测试指南.
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
- 一般的做法一般的做法
背景情况:
- 爱尔兰在2022年经历了艾滋病毒诊断的创纪录高,与2021年和大流行前水平相比大幅增加.
- 在都柏林以外的地区,晚期艾滋病毒诊断和检测访问挑战更为普遍.
研究的目的:
- 评估爱尔兰西部的全科医生当前的艾滋病毒检测实践和态度.
- 将当代测试行为与2013年进行的先前研究进行比较.
主要方法:
- 一个横截面的混合方法研究,利用邮政调查分发给爱尔兰西部的全科医生.
- 该调查工具是根据2013年的一项研究改编的,用于评估艾滋病毒检测实践和态度.
主要成果:
- 实现了21.4%的应答率,其中79.4%的全科医生报告了活在艾滋病毒的注册患者,比2013年的56%增加了.
- 患者的要求和性史是艾滋病毒检测的主要指标;然而,只有19.1%的全科医生报告使用正式指南.
- 定性分析显示,人们认为艾滋病毒对日常实践的影响很低,并强烈希望有针对性的测试指南.
结论:
- 一般医生对艾滋病毒检测表达了积极的倾向,但对潜在的检测不足表示担忧.
- 虽然2013年在城市和农村的全科医生之间检测实践的差异被注意到,但这些区别似乎正在减少.
- 低指南使用率表明需要改善资源和有针对性的策略,以加强一般实践中的艾滋病毒检测.
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