Mutch Allyson J, Lui Chi-Wai, Dean Judith, Mao Limin, Lemoire Jime, Debattista Joseph, Howard Chris, Whittaker Andrea, Fitzgerald Lisa
The School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Centre for Social Research in Health (CSRH), University of New South Wales, NSW, Australia.
BMC Health Serv Res. 2017 Apr 28;17(1):310. doi: 10.1186/s12913-017-2249-5.
The success of 'treatment as prevention' (TasP) to control HIV relies on the uptake of testing across priority population groups. Innovative strategies including; rapid HIV testing (RHT) in community and outreach settings, engaging peer service providers, and not requiring disclosure of sexual history have been designed to increase access. This paper reports on the implementation of 'RAPID', a community-based testing program in Queensland, Australia that employs these strategies to increase access to testing.
Service data, including client registration forms and a satisfaction survey from all clients attending RAPID between August 2014 and July 2015 were analysed.
In 2014/2015 1,199 people attended RAPID to receive a free HIV test. The majority were urban-based gay men. 17.1% were first-time testers and 20.1% of participants were not eligible to access Medicare, Australia's universal health care scheme.
RAPID's evidence-based strategies appear to facilitate access to HIV testing, particularly among those who have never tested before; however the implications for the ongoing treatment and care of people ineligible for Medicare, who test positive to HIV warrants careful consideration.
“治疗即预防”（TasP）控制艾滋病病毒的成功依赖于重点人群对检测的接受程度。已设计了包括在社区和外展场所进行快速艾滋病毒检测（RHT）、让同伴服务提供者参与以及无需透露性病史等创新策略，以增加检测机会。本文报告了澳大利亚昆士兰州一项基于社区的检测项目“快速检测”（RAPID）的实施情况，该项目采用这些策略来增加检测机会。
分析了服务数据，包括2014年8月至2015年7月期间参加RAPID的所有客户的登记表和满意度调查。
在2014/2015年，1199人参加了RAPID以接受免费艾滋病毒检测。大多数是居住在城市的男同性恋者。17.1%是首次检测者，20.1%的参与者无资格享受澳大利亚全民医疗保健计划医疗保险。
RAPID基于证据的策略似乎有助于增加艾滋病毒检测机会，特别是在那些从未检测过的人群中；然而，对于检测出艾滋病毒呈阳性但无资格享受医疗保险的人，其后续治疗和护理问题值得仔细考虑。
