患者-提供者沟通和PrEP协调员的作用:改善艾滋病毒预防护理的定性分析
Sarah Portle1, Ji-Young Lee2, Cho-Hee Shrader1
1Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.
Culture, health & sexuality
|February 14, 2026
概括
艾滋病毒预防的暴露前预防 (PrEP) 获取受到沟通缺口的阻碍. 加强患者和提供者之间的沟通和信任,特别是通过PrEP协调员,对于优先人群中公平的吸收至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通 卫生沟通
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 暴露前预防 (PrEP) 是有效的预防艾滋病毒感染.
- 在PrEP吸收方面仍然存在显著的差异,特别是在亚利桑那州的关键人群中.
- 有效的患者-提供者沟通对于获得PrEP至关重要,特别是在讨论性和艾滋病毒风险等敏感话题时.
研究的目的:
- 探索沟通动态如何影响艾滋病毒预防服务的提供和可访问性.
- 从患者,医疗保健提供者和PrEP协调员的角度确定PrEP吸收的障碍和促进者.
主要方法:
- 在亚利桑那州与患者,医疗保健提供者和PrEP协调员进行了24次半结构化采访.
- 使用了适应的患者-提供者沟通框架.
- 进行主题分析以确定关键的沟通主题.
主要成果:
- 识别了跨越需求,信仰,价值观,技能和情绪的交叉障碍和促进者.
- 患者报告了后勤问题,对判断的恐惧,以及对信任和验证的需求.
- 提供者强调同情和包容性护理;协调员强调文化能力和情感联系.
结论:
- 医疗保健提供者的意图和患者对PrEP沟通的看法之间存在差距.
- 准备计划协调员在弥合沟通沟和培养信任方面发挥着至关重要的作用.
- 改善患者-提供者沟通策略对于减少PrEP获取差异和促进艾滋病毒预防至关重要.
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