普通内科医生在初级保健中对常规艾滋病毒筛查的信念、行为及感知到的障碍。
General internists' beliefs, behaviors, and perceived barriers to routine HIV screening in primary care.
作者信息
Korthuis P Todd, Berkenblit Gail V, Sullivan Lynn E, Cofrancesco Joseph, Cook Robert L, Bass Michael, Bashook Philip G, Edison Marcia, Asch Steve M, Sosman James M
机构信息
Department of Medicine and Public Health, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239-3098, USA.
出版信息
AIDS Educ Prev. 2011 Jun;23(3 Suppl):70-83. doi: 10.1521/aeap.2011.23.3_supp.70.
The Centers for Disease Control and Prevention (CDC) recommends routine HIV screening in primary care but little is known about general internists' views of this practice. We conducted a national, cross-sectional, Internet-based survey of 446 general internists in 2009 regarding their HIV screening behaviors, beliefs, and perceived barriers to routine HIV screening in outpatient internal medicine practices. Internists' awareness of revised CDC guidelines was high (88%), but only 52% had increased HIV testing, 61% offered HIV screening regardless of risk, and a median 2% (range 0-67%) of their patients were tested in the past month. Internists practicing in perceived higher risk communities reported greater HIV screening. Consent requirements were a barrier to screening, particularly for VA providers and those practicing in states with HIV consent statutes inconsistent with CDC guidelines. Interventions that promote HIV screening regardless of risk and streamlined consent requirements will likely increase adoption of routine HIV screening in general medicine practices.
美国疾病控制与预防中心（CDC）建议在初级保健中进行常规HIV筛查，但对于普通内科医生对这种做法的看法却知之甚少。2009年，我们针对446名普通内科医生开展了一项基于互联网的全国性横断面调查，内容涉及他们在门诊内科实践中的HIV筛查行为、信念以及对常规HIV筛查的认知障碍。内科医生对CDC修订指南的知晓率很高（88%），但只有52%的人增加了HIV检测，61%的人无论风险如何都提供HIV筛查，且在过去一个月里，他们的患者接受检测的中位数为2%（范围为0 - 67%）。在被认为风险较高社区执业的内科医生报告的HIV筛查率更高。同意要求是筛查的一个障碍，特别是对于退伍军人事务部的医疗服务提供者以及那些在HIV同意法规与CDC指南不一致的州执业的医生。促进无论风险如何都进行HIV筛查以及简化同意要求的干预措施可能会增加普通内科实践中常规HIV筛查的采用率。
Zotero 插件