美国物质滥用治疗项目中为艾滋病毒/艾滋病、丙型肝炎病毒感染和性传播感染提供卫生服务的障碍。
Barriers to providing health services for HIV/AIDS, hepatitis C virus infection and sexually transmitted infections in substance abuse treatment programs in the United States.
机构信息
Division of Gastroenterology, VA New York Harbor Healthcare System and New York University School of Medicine, New York, NY, USA.
出版信息
J Addict Dis. 2011 Apr;30(2):98-109. doi: 10.1080/10550887.2011.554780.
Abstract
We sought to identify barriers to offering services for HIV/AIDS, hepatitis C virus, and sexually transmitted infections in substance abuse treatment programs. We surveyed treatment program administrators and clinicians within the National Drug Abuse Treatment Clinical Trials Network to evaluate the availability of medical and non-medical services for patients with or at risk for acquiring these infections. A substantial proportion of programs do not offer services (particularly medical services) for these infections. The most commonly cited barriers were funding, health insurance benefits, patient acceptance, and staff training. The findings highlight a missed opportunity to positively impact these infectious disease epidemics.
摘要
我们试图确定在物质滥用治疗计划中提供艾滋病毒/艾滋病、丙型肝炎病毒和性传播感染服务的障碍。我们调查了国家药物滥用治疗临床试验网络内的治疗计划管理人员和临床医生，以评估为患有或有感染这些感染风险的患者提供医疗和非医疗服务的情况。相当一部分计划不提供这些感染的服务（特别是医疗服务）。最常提到的障碍是资金、健康保险福利、患者接受程度和员工培训。调查结果突出表明，我们错失了一个积极影响这些传染病流行的机会。
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