Hallum-Montes Rachel, Morgan Sera, Rovito Helen M, Wrisby Cornell, Anastario Michael P
Cicatelli Associates Inc., Research and Evaluation, NY, USA.
AIDS Care. 2013 Aug;25(8):968-72. doi: 10.1080/09540121.2012.748869. Epub 2013 Jan 11.
For HIV-positive individuals living in socially vulnerable circumstances, the complexities of accessing and navigating healthcare system can be overwhelming. Peer-driven interventions (PDIs) are increasingly being recognized as effective ways of addressing barriers to HIV care in the USA. The present study is a qualitative investigation of barriers, challenges, and facilitators to implementation of a peer integration program at three health centers in the USA. Findings reveal that health center staff and HIV-positive patients support the integration of HIV-positive peers on multidisciplinary healthcare teams. However, challenges related to peer-clinician communication and the risk of emotional burnout for peers may hinder program efficacy and sustainability. Practical implications and suggestions for improving the peer integration program in light of these findings are also discussed.
对于生活在社会弱势环境中的艾滋病毒呈阳性个体而言，获取和应对医疗保健系统的复杂性可能令人难以承受。在美国，同伴驱动干预措施（PDIs）越来越被视为解决艾滋病毒护理障碍的有效方式。本研究是对美国三个医疗中心实施同伴整合项目的障碍、挑战和促进因素进行的定性调查。研究结果表明，医疗中心工作人员和艾滋病毒呈阳性患者支持艾滋病毒呈阳性同伴融入多学科医疗团队。然而，同伴与临床医生沟通方面的挑战以及同伴出现情感倦怠的风险可能会阻碍项目的有效性和可持续性。鉴于这些研究结果，还讨论了改进同伴整合项目的实际意义和建议。
