美国佛罗里达州的艾滋病毒暴露前预防实践:临床医生对启动,风险识别,障碍和促进者的看法
Khairul Alam Siddiqi1, Shantrel S Canidate2, Yiyang Liu2
1Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington, United States of America.
PloS one
|February 6, 2026
概括
临床医生发现,暴露前预防 (PrEP) 启动是一个共享的过程,但存在障碍. 电子健康记录 (EHR) 可以有所帮助,但改善的沟通策略对于有效预防艾滋病毒至关重要.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗信息学 医疗信息学
背景情况:
- 暴露前预防 (PrEP) 是一种关键的艾滋病毒预防策略.
- 了解临床医生的观点对于优化PrEP实施至关重要.
- 需要确定PrEP启动和评估的障碍.
研究的目的:
- 探索临床医生对PrEP启动和艾滋病毒风险评估的看法.
- 为了识别对PrEP实施的感知障碍.
- 评估基于电子健康记录 (EHR) 的PrEP决策支持工具的潜力.
主要方法:
- 使用三个远程焦点组进行定性探索性研究.
- 针对15名临床医生进行了有 PrEP 经验的有目的抽样.
- 半结构化讨论指南,音频录制,转录和NVivo中的专题分析.
主要成果:
- 启动PrEP是一种患者和临床医生的协作努力.
- 有效的患者-临床医生对话对于识别PrEP候选人至关重要.
- 电子健康记录是有用的,但不够的;患者,临床医生和系统障碍阻碍了PrEP.
- 技术创新可以提高PrEP的处方.
结论:
- 改善沟通策略和行为干预可以提高PrEP意识.
- 解决已识别的障碍是成功实施PrEP所必需的.
- 基于EHR的工具,加上增强的沟通,可以支持PrEP的处方.
相关概念视频
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