family physician and a resident in the Public Health and Preventive Medicine program at the University of British Columbia in Vancouver.
family physician and public health physician, Clinical Assistant Professor with the Department of Family Practice at the University of British Columbia, and Program Director for the Public Health and Preventive Medicine program at NOSM University.
Can Fam Physician. 2022 Jun;68(6):e182-e189. doi: 10.46747/cfp.6806e182.
To explore Canadian FPs' experiences with, perceived barriers to, and perceived facilitators of FP-initiated partner notification (PN) for HIV and other sexually transmitted infections (STIs), as well as to inform the development of tools that might enhance this work.
Online survey.
British Columbia.
A total of 146 FPs recruited through the Divisions of Family Practice community-based networks of FPs throughout the province.
Family physicians' current STI and PN practices, opinions regarding FP-initiated PN, perceived barriers to and facilitators of FP-initiated PN, and preferred PN resources.
More than 90% of FPs had diagnosed an STI within the past year, and most (60.3% to 96.6%, depending on the STI) told patients to inform their partners. Two-thirds (66.4%) felt that PN should not be done by FPs, and fewer than 10% reported contacting partners. Reported barriers included inaccurate or incomplete lists of partners (67.1%), poor compensation (54.1%), and insufficient time (54.1%). Facilitators chosen by respondents included another health professional assigned to follow up with PN (77.4%) and improved remuneration (74.7%). Electronic PN tools directed at patients (eg, PN slips) were favoured over resources directed at providers.
Family physicians regularly manage STIs and currently take part in PN primarily through educating index cases. However, most do not feel that PN should be conducted by FPs, and most believe that FP-initiated PN would require additional personnel, remuneration, and legal guidance.
探索加拿大家庭医生在艾滋病毒和其他性传播感染（STI）方面开展伴侣通知（PN）的经验、感知障碍和感知促进因素，以及为增强这方面工作而开发工具。
在线调查。
不列颠哥伦比亚省。
通过全省各地区家庭实践社区网络共招募了 146 名家庭医生。
家庭医生目前的 STI 和 PN 实践、对家庭医生开展 PN 的看法、开展 PN 的感知障碍和促进因素，以及首选的 PN 资源。
超过 90%的家庭医生在过去一年中诊断出 STI，大多数（60.3%至 96.6%，取决于 STI）告知患者通知其伴侣。三分之二（66.4%）的家庭医生认为 PN 不应由家庭医生来做，不到 10%的家庭医生报告过联系过伴侣。报告的障碍包括伴侣名单不准确或不完整（67.1%）、薪酬低（54.1%）和时间不足（54.1%）。受访者选择的促进因素包括指定另一名负责 PN 随访的卫生专业人员（77.4%）和增加薪酬（74.7%）。针对患者的电子 PN 工具（如 PN 便签）比针对提供者的资源更受欢迎。
家庭医生经常管理 STI，并在 PN 方面主要通过教育病例来参与。然而，大多数家庭医生认为 PN 不应由家庭医生开展，并且大多数人认为家庭医生开展 PN 将需要额外的人员、薪酬和法律指导。
