Agustí C, Fernàndez-López L, Mascort J, Carrillo R, Aguado C, Montoliu A, Puigdengolas X, De La Poza M, Rifà B, Casabona J
Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut català d'Oncologia, Agència Salut Pública de Catalunya, Generalitat de Catalunya, Badalona, Spain.
AIDS Care. 2013;25(5):544-9. doi: 10.1080/09540121.2012.726339. Epub 2012 Oct 15.
This study investigated the acceptability of rapid HIV testing among general practitioners (GP) and aimed to identify perceived barriers and needs in order to implement rapid testing in primary care settings. An anonymous questionnaire was distributed online to all members of the two largest Spanish scientific medical societies for family and community medicine. The study took place between 15 June 2012 and 31 October 2010. Completed questionnaires were returned by 1308 participants. The majority (90.8%) of respondents were GP. Among all respondents, 70.4% were aware of the existence of rapid tests for the diagnosis of HIV but they did not know how to use them. Nearly 80% of participants would be willing to offer rapid HIV testing in their practices and 74.7% would be confident of the result obtained by these tests. The barriers most commonly identified by respondents were a lack of time and a need for training, both in the use of rapid tests (44.3% and 56.4%, respectively) and required pre- and post-test counselling (59.2% and 34.5%, respectively). This study reveals a high level of acceptance and willingness on the part of GPs to offer rapid HIV testing in their practices. Nevertheless, the implementation of rapid HIV testing in primary care will not be possible without moving from comprehensive pre-test counselling towards brief pre-test information and improving training in the use of rapid tests.
本研究调查了全科医生（GP）对快速艾滋病毒检测的接受程度，旨在确定可感知的障碍和需求，以便在基层医疗环境中开展快速检测。通过网络向西班牙两个最大的家庭和社区医学科学医学协会的所有成员发放了一份匿名问卷。研究于2012年6月15日至2010年10月31日期间进行。1308名参与者返回了填写完整的问卷。大多数（90.8%）受访者为全科医生。在所有受访者中，70.4%知晓存在用于艾滋病毒诊断的快速检测，但他们不知道如何使用。近80%的参与者愿意在其诊所提供快速艾滋病毒检测，74.7%的人对这些检测获得的结果有信心。受访者最常指出的障碍是缺乏时间以及在快速检测的使用方面（分别为44.3%和56.4%）和所需的检测前及检测后咨询方面（分别为59.2%和34.5%）都需要培训。这项研究表明，全科医生在其诊所提供快速艾滋病毒检测方面具有很高的接受度和意愿。然而，如果不从全面的检测前咨询转向简短的检测前信息，并改善快速检测使用方面的培训，在基层医疗中开展快速艾滋病毒检测将是不可能的。
