将艾滋病毒预防纳入常规产科和妇科保健中
Sneha Thatipelli1, Megan Grabill2, Kayla Harrell3
1Division of Infectious Disease, University of Pennsylvania, Philadelphia, PA, USA.
AIDS care
|July 21, 2025
概括
妇女在暴露前预防 (PrEP) 的吸收率仍然很低. 解决保险和诊所基础设施等障碍,以及加强提供者教育,可以改善PrEP与产科和妇科护理的整合.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 妇女健康 妇女健康
背景情况:
- 暴露前预防 (PrEP) 是预防艾滋病毒的关键工具.
- 妇女服用PrEP仍然低于最佳水平,因此需要对护理整合进行调查.
- 产科和妇科 (OBGYN) 设置为改善PrEP获取提供了一个潜在的场所.
研究的目的:
- 识别PrEP采用和整合在妇产科医生护理中的障碍和促进者的障碍.
- 为提高妇女健康环境中PrEP服务的策略提供信息.
主要方法:
- 在研究设计中使用了实施研究综合框架 (CFIR 2.0) .
- 在2023年5月至12月期间,与妇产科医生专业人员,医疗主任和PrEP导航员进行了16次半结构化采访.
- 雇佣有目的的抽样用于参与者招聘.
主要成果:
- 参与者承认预防艾滋病毒属于他们的范围,但很少开处方PrEP.
- 关键障碍包括保险问题,诊所基础设施不足,以及提供者处方PrEP时的不适.
- 促进者包括PrEP冠军,并提高了专业人员和患者对PrEP的认识.
结论:
- 将PrEP整合到妇产科医生护理中需要解决多层次的障碍,并利用促进者.
- 加强教育,工作流程优化和EMR集成等策略对于增加PrEP吸收至关重要.
- 有针对性的干预措施可以改善妇女在常规妇科服务中获得PrEP的机会.
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