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全科医疗中HIV检测的需求模式:5个欧洲国家哨点网络收集的信息。

Demand patterns for HIV-tests in general practice: information collected by sentinel networks in 5 European countries.

作者信息

Van Casteren V, Leurquin P, Bartelds A, Gurtner F, Massari V, Maurice-Tison S, Vega A T, Mak R

机构信息

Institute of Hygiene and Epidemiology, Brussels, Belgium.

出版信息

Eur J Epidemiol. 1993 Mar;9(2):169-75. doi: 10.1007/BF00158787.

Abstract

This study describes a 1 year international data collection on the demand pattern for HIV-antibody tests in general practice recorded by 6 sentinel networks in 5 European countries. The purpose of the recording was to evaluate the use of HIV-antibody testing by general practitioners and the demand for testing among the general population. Sentinel networks of general practitioners are a possible and available instrument for monitoring the perception of the HIV-test, and indirectly of the threat of the HIV-epidemic by the public and by the general practitioners (GPs). Differences were found between the countries in the frequency of testing, the person asking the test and the reason for testing. Possible explanatory factors, such as differences in the routine testing of specific groups, differences in the training and in the role of the GP, differences in the characteristics of prevention policy, are discussed. The European comparison also offers the opportunity to reflect on common medical practice in dealing with demands for HIV-tests.

摘要

本研究描述了一项为期1年的国际数据收集情况,该数据收集针对5个欧洲国家的6个哨点网络所记录的全科医疗中HIV抗体检测的需求模式。记录的目的是评估全科医生对HIV抗体检测的使用情况以及普通人群的检测需求。全科医生哨点网络是一种可行且可用的工具,用于监测公众以及全科医生(GP)对HIV检测的认知,进而间接监测HIV疫情的威胁。研究发现各国在检测频率、检测申请者以及检测原因方面存在差异。文中讨论了一些可能的解释因素,例如特定群体常规检测的差异、全科医生培训及角色的差异、预防政策特点的差异。欧洲范围内的比较还提供了一个机会,来反思应对HIV检测需求时的常见医疗实践。

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