在艾滋病毒应对中扩大以人为本的护理的路线图:来自全球共识建设过程的建议
Lina Golob1, Emma L Williams1, Marlène Bras1
1HIV Programmes and Advocacy, IAS - the International AIDS Society, Geneva, Switzerland.
Journal of the International AIDS Society
|December 29, 2025
概括
以人为中心的护理 (PCC) 对于减少艾滋病毒影响和改善生活质量至关重要. 这项研究确定了PCC的核心元素,并制定了可行的建议,用于在卫生系统和客户-医疗保健工作者互动中进行全球实施.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 艾滋病毒/艾滋病研究研究
背景情况:
- 全球指南建议以人为中心的护理 (PCC) 改善艾滋病毒感染者的健康结果和生活质量.
- 在不同医疗保健层面之间缺乏对优先级PCC元素和实施指南的共识,阻碍了进展.
- 这项研究旨在确定PCC的核心元素,并制定大规模实施的建议.
研究的目的:
- 在艾滋病毒服务中建立以人为本的护理 (PCC) 基本要素的全球共识.
- 制定可行的建议,以在卫生系统,服务提供和客户医疗保健工作者层面实施PCC原则.
- 为利益相关者提供路线图,以实现PCC的全部潜力.
主要方法:
- 一个多阶段的共识建设过程,包括文献审查,五次利益相关者商 (每人34-43名参与者),以及三轮Delphi调查 (49名参与者).
- 包括各种各样的全球利益相关者,包括客户,医疗保健工作者,政策制定者和研究人员.
- 根据参与者的反来反复改进陈述和建议.
主要成果:
- 参与者之间达成了高度一致 (>90%对陈述,>95%对建议).
- 确定的核心PCC要素包括一个强大的初级医疗保健 (PHC) 系统,HCW致力于安全/包容空间,社区领导,客户与HCW关系中的权力共享,数字参与和跨学科合作.
- 关键建议包括制定国家生活质量目标,加强综合医疗保健,促进社区与学术伙伴关系,并定期评估客户报告的结果.
结论:
- 概述了实施PCC的路线图,详细说明了不同利益相关者的角色和行动.
- 培养一种珍视所有声音的文化,包括客户,护理人员和所有HCW干部,至关重要.
- 加强HIV/PHC的整合和与全民医疗覆盖的协调对于可持续的,包容性的医疗保健至关重要.
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