向结果推广:在优先人群中推进艾滋病毒护理
Lesley Simon1, Rachel Deerr1, Tabitha Washington1
1DKBmed, New York, NY, USA.
Journal of CME
|November 5, 2025
概括
社区参与的项目通过教育临床医生和社区合作伙伴,有效地减少了边缘化人口中的艾滋病毒差异. 这些举措在熟悉的环境中提供了重要的健康查和教育,改善了艾滋病毒检测和治疗机会.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 美国的艾滋病毒流行不成比例地影响到边缘化社区,特别是南部各州的黑人.
- 像耻辱和有限的医疗保健接入等系统性障碍加剧了艾滋病毒的发病率和结果.
- 国家"结束艾滋病毒流行病" (EHE) 倡议旨在减少优先人口中的感染.
研究的目的:
- 开发和实施社区参与的项目,以解决艾滋病毒差异.
- 改善临床医生,社区合作伙伴和客户之间的艾滋病毒检测,治疗和预防知识.
- 通过在熟悉的社区环境中提供服务来减轻耻辱和进入障碍.
主要方法:
- 在优先司法管辖区实施了五个社区参与计划,利用黑人拥有的理发店和基于信仰的组织等场所.
- 为临床医生 (艾滋病毒/PrEP差异,文化谦卑,ART启动),社区合作伙伴 (理发师,神职人员) 和客户采用多维教育策略.
- 在社区活动中提供现场健康教育,激励和艾滋病毒和其他疾病的查.
主要成果:
- 在五个项目中进行了804次艾滋病毒查.
- 教育了超过1,650名临床医生,表现出对艾滋病毒/PrEP差异和管理的知识,能力和信心的提高.
- 社区合作伙伴对于招聘,教育和弥合对医疗机构的不信任至关重要.
结论:
- 将客户,临床医生和合作伙伴教育与激励相结合的多维计划对优先人群的艾滋病毒检测和治疗有效.
- 社区参与和文化定制的方法对于克服艾滋病毒预防和护理方面的系统障碍至关重要.
- 利用值得信赖的社区场所和合作伙伴可以显著改善医疗保健准入和减少健康差距.
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