Maxwell Steven
Senior Teaching Fellow,King's College London,London SE1 8WA.
Prim Health Care Res Dev. 2018 Mar;19(2):205-209. doi: 10.1017/S1463423617000627. Epub 2017 Nov 2.
Aim This study's objectives were to collate General Practitioners' (GPs) views and experiences on the barriers and facilitators for providing HIV and sexual health screening in primary care to men who have sex with men.
Men who have sex with men (MSM) are disproportionately effected by sexually transmitted infections and HIV. Some MSM may not attend for testing and primary care may come in contact with this group. There may be varying barriers for MSM accessing services. Primary care can provide an opportunity to offer testing but with limited GPs views on this topic, it is important to understand the potential barriers and facilitators.
A structured online survey was used to gather data and the survey link was emailed to all General Practices in the City of Edinburgh. The total available sample of GPs was 485. The survey used a combination of multiple choice questions and Likert scales rating from 1 to 5. Friedman's two-way analysis of variation rank was used for data analysis. Findings In total, 62 GPs from the City of Edinburgh completed the survey with the majority of the sample having over 10 years' experience in primary care. The most significant barrier was patient preference to access specialist services. The highest rated method to promote HIV and sexual health screening was the use of external promotion.
目的 本研究的目标是整理全科医生（GPs）对于在初级医疗保健中为男男性行为者提供艾滋病毒和性健康筛查的障碍及促进因素的观点和经验。
男男性行为者（MSM）受性传播感染和艾滋病毒的影响尤为严重。一些男男性行为者可能不参加检测，而初级医疗保健可能会接触到这一群体。男男性行为者获取服务可能存在各种障碍。初级医疗保健可以提供检测机会，但由于全科医生对该主题的观点有限，了解潜在的障碍和促进因素很重要。
采用结构化在线调查收集数据，调查链接通过电子邮件发送给爱丁堡市的所有全科诊所。全科医生的可用样本总数为485人。该调查结合了多项选择题和1至5级的李克特量表评分。数据分析采用弗里德曼双向变异秩分析。结果 爱丁堡市共有62名全科医生完成了调查，样本中的大多数在初级医疗保健方面有超过10年的经验。最主要的障碍是患者倾向于寻求专科服务。促进艾滋病毒和性健康筛查的最高评级方法是利用外部宣传。
