探索在马来西亚医疗保健环境中实施Health4All模块以减少艾滋病污名的障碍和促进者,Delphi研究
Nor Fauziah Salaton1,2, Rafdzah Zaki3, Noraziani Khamis4
1National Institutes of Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia. norfauziah@moh.gov.my.
BMC research notes
|December 30, 2025
概括
在马来西亚实施Health4All模块可以减少医疗保健机构的HIV污名. 关键的促进者包括强有力的领导和员工参与,而劳动力短缺和培训问题带来了挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 医疗保健的耻辱和歧视阻碍了全球艾滋病流行病的目标.
- 马来西亚的干预措施有限,Health4All是减少艾滋病毒污名的显著例外.
研究的目的:
- 探索在马来西亚医疗保健机构实施Health4All模块的障碍和促进因素.
- 提高Health4All模块在减少与艾滋病毒相关的耻辱感方面的有效性.
主要方法:
- 使用了德尔菲方法,并从公共卫生和初级保健中获得了专家意见.
- 通过电子邮件进行了三轮代数据收集,以改进发现.
主要成果:
- 促进者:强有力的领导,资金,诊所冠军,建立的艾滋病毒团队,员工参与.
- 障碍:劳动力短缺,高流动,招聘挑战,语言/内容限制,在线培训限制.
- 具有成本效益的在线交付和激励措施提高了采用率.
结论:
- 组织,个人和系统因素极大地影响实施的成功.
- 结果支持未来努力改善医疗保健实践和关于艾滋病毒污名的结果.
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