口腔诊疗中的快速 HIV 检测。
Rapid HIV testing in dental practices.
机构信息
Center for the Psychological Study of Health and Illness, Department of Sociomedical Sciences, Columbia University, New York, NY, USA.
出版信息
Am J Public Health. 2012 Apr;102(4):625-32. doi: 10.2105/AJPH.2011.300509. Epub 2012 Feb 16.
Abstract
Despite increasing discussion about the dental care setting as a logical, potentially fruitful venue for rapid HIV testing, dentists' willingness to take on this task is unclear. Semistructured interviews with 40 private practice dentists revealed their principal concerns regarding offering patients HIV testing were false results, offending patients, viewing HIV testing as outside the scope of licensure, anticipating low patient acceptance of HIV testing in a dental setting, expecting inadequate reimbursement, and potential negative impact on the practice. Dentists were typically not concerned about transmission risks, staff opposition to testing, or making referrals for follow-up after a positive result. A larger cultural change may be required to engage dentists more actively in primary prevention and population-based HIV screening.
摘要
尽管越来越多的人讨论将牙科护理环境作为快速进行 HIV 检测的合理且有潜力的场所，但牙医是否愿意承担这一任务尚不清楚。对 40 名私人执业牙医进行的半结构化访谈显示，他们对为患者提供 HIV 检测的主要担忧是假阳性结果、冒犯患者、认为 HIV 检测超出许可范围、预计患者在牙科环境中接受 HIV 检测的意愿较低、预期报酬不足以及对业务的潜在负面影响。牙医通常不担心传播风险、员工对检测的反对，或者在阳性结果后进行后续转介。可能需要进行更大的文化变革，以使牙医更积极地参与初级预防和基于人群的 HIV 筛查。
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