医疗保健提供者对艾滋病毒初级保健机构不健康酒精使用的查和治疗的看法
Amy J Kennedy1,2, D Scott Batey3, Elizabeth J Austin4
1Division of General Internal Medicine, University of Washington, Seattle, WA, USA. amy.kennedy@va.gov.
AIDS and behavior
|December 5, 2025
概括
医疗保健提供者面临的挑战是在艾滋病毒感染者 (PWH) 中查和治疗不健康的酒精使用 (UAU) 和酒精使用障碍 (AUD). 整合护理和使用远程医疗可以改善PWH的AUD治疗参与度.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 药物使用障碍 药物使用障碍
背景情况:
- 不健康的酒精使用 (UAU) 和酒精使用障碍 (AUD) 显著影响艾滋病毒感染者 (PWH).
- 解决UAU/AUD对于全面的HIV护理和改善健康结果至关重要.
- 艾滋病毒诊所的医疗保健提供者在管理UAU/AUD时遇到特定的挑战.
研究的目的:
- 在艾滋病毒诊所的医疗保健提供者中识别UAU/AUD查和治疗的障碍和促进者.
- 在这个人群中为UAU/AUD开发有效干预措施提供信息.
主要方法:
- 在三个艾滋病毒诊所中,与19名医疗保健提供者进行了半结构面试.
- 使用快速评估过程编码采访数据以确定主题.
主要成果:
- 主要障碍包括查工具的不一致使用/感知益处,AUD药物治疗的不同舒适性,与其他SUD相比,酒精的优先级较低,以及提供者同情疲劳.
- 促进者包括共同的AUD护理,临床冠军的存在,以及远程医疗在患者参与方面的潜力.
结论:
- 在艾滋病毒环境中的初级保健团队在查和治疗UAU/AUD时面临重大障碍.
- 干预措施应侧重于解决提供者对AUD治疗的信念,并加强HIV护理中的查协议.
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