67/4 Learmonth Grove, Edinburgh, EH4 1BL, UK, Email:
Edinburgh Clinical Infection Research Group, NHS Lothian Infection Service, NHS Lothian.
J R Coll Physicians Edinb. 2021 Sep;51(3):230-236. doi: 10.4997/JRCPE.2021.305.
Increasing the uptake of HIV testing in people who may have undiagnosed HIV is essential to reduce the morbidity associated with late HIV diagnosis.
We conducted a multicentre, longitudinal, mixed-methods study, surveying the attitudes, knowledge and practice of non-HIV specialist hospital physicians in South-East Scotland and North-East England with respect to HIV testing.
We found that although awareness of indications for HIV testing had improved over time, only 13% of clinicians recognised all of the surveyed HIV indicator conditions. Physicians were better at recognising the indicator conditions relevant to their specialty. The perception of working with a low-risk patient population was the most frequently cited barrier to offering an HIV test. Only a third of study respondents had requested more than 10 HIV tests in the preceding year.
Our study supports a need for targeted and sustained educational initiatives to increase rates of HIV testing in secondary care.
增加可能患有未确诊 HIV 的人群接受 HIV 检测的人数对于降低与晚期 HIV 诊断相关的发病率至关重要。
我们进行了一项多中心、纵向、混合方法研究，调查了苏格兰东南部和英格兰东北部非 HIV 专科医院医生对 HIV 检测的态度、知识和实践。
我们发现，尽管对 HIV 检测指征的认识随着时间的推移有所提高，但只有 13%的临床医生认识到所有调查的 HIV 指标情况。医生更善于识别与其专业相关的指标情况。认为与低风险患者群体合作是提供 HIV 检测的最常见障碍。只有三分之一的研究受访者在过去一年中要求进行了 10 多次 HIV 检测。
我们的研究支持需要有针对性和持续的教育计划来提高二级保健中的 HIV 检测率。
