Lam Marcus, Grusky Oscar
Columbia University, School of Social Work.
University of California, Los Angeles, Sociology.
J HIV AIDS Soc Serv. 2015;14(1):3-25. doi: 10.1080/15381501.2013.849219. Epub 2015 Mar 3.
This study examines the strategic contributions of three Frontline Practitioner (FP) attributes for effective HIV testing: risk assessment use, having specialized HIV training, and organizational test setting (nonprofit, forprofit, and public).
Data from 621staff in 159 organizations in Los Angeles County, are used to model individual and organizational correlates and use of risk assessment and measures of effective performance (volume of HIV tests, HIV seropositive tests, and referrals to treatment).
FP with specialized training in HIV care situated in nonprofit outpatient clinics are more likely to use risk assessment. Nonprofit outpatient clinics, FP with specialized training in HIV, and risk assessment use are associated with higher HIV test volume.
FP with specialized HIV training in nonprofit outpatient settings offer testing/counseling services qualitatively different from FP in other settings.
本研究探讨了一线从业者（FP）的三个属性对有效开展HIV检测的战略贡献：风险评估的运用、接受过HIV专门培训以及组织检测环境（非营利性、营利性和公共性）。
来自洛杉矶县159个组织的621名工作人员的数据，用于建立个体和组织相关因素以及风险评估的使用情况和有效绩效衡量指标（HIV检测量、HIV血清阳性检测量以及转介治疗情况）的模型。
在非营利性门诊诊所工作且接受过HIV护理专门培训的一线从业者更有可能使用风险评估。非营利性门诊诊所、接受过HIV专门培训的一线从业者以及风险评估的使用与更高的HIV检测量相关。
在非营利性门诊环境中接受过HIV专门培训的一线从业者提供的检测/咨询服务在质量上与其他环境中的一线从业者不同。
