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首页> 外文期刊>BMC Health Services Research >Increasing HIV testing among hard-to-reach groups: examination of RAPID, a community-based testing service in Queensland, Australia
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Increasing HIV testing among hard-to-reach groups: examination of RAPID, a community-based testing service in Queensland, Australia

机译:在难以到达的人群中增加艾滋病毒检测:对RAPID的检查,RAPID是澳大利亚昆士兰州基于社区的检测服务

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Background The success of ‘treatment as prevention’ (TasP) to control HIV relies on the uptake of testing across priority population groups. Innovative strategies including; rapid HIV testing (RHT) in community and outreach settings, engaging peer service providers, and not requiring disclosure of sexual history have been designed to increase access. This paper reports on the implementation of ‘RAPID’, a community-based testing program in Queensland, Australia that employs these strategies to increase access to testing. Methods Service data, including client registration forms and a satisfaction survey from all clients attending RAPID between August 2014 and July 2015 were analysed. Results In 2014/2015 1,199 people attended RAPID to receive a free HIV test. The majority were urban-based gay men. 17.1% were first-time testers and 20.1% of participants were not eligible to access Medicare, Australia’s universal health care scheme. Conclusions RAPID’s evidence-based strategies appear to facilitate access to HIV testing, particularly among those who have never tested before; however the implications for the ongoing treatment and care of people ineligible for Medicare, who test positive to HIV warrants careful consideration.
机译:背景技术“预防性治疗”(TasP)能否成功控制艾滋病毒,取决于对优先人群进行检测的情况。创新策略包括;在社区和外展环境中进行快速HIV检测(RHT),吸引同伴服务提供者并且不需要披露性病史的目的是增加访问的机会。本文报告了“ RAPID”的实施情况,该计划是在澳大利亚昆士兰州基于社区的测试计划,该计划采用这些策略来增加获得测试的机会。方法分析2014年8月至2015年7月期间所有参加RAPID的客户的服务数据,包括客户注册表和满意度调查。结果2014/2015年,有1,199人参加了RAPID,接受了免费的HIV检测。多数是城市的男同性恋者。首次测试者为17.1%,参与者的20.1%没有资格使用澳大利亚的全民医疗保健计划Medicare。结论RAPID的基于证据的策略似乎有助于获得HIV检测的机会,特别是那些从未接受过HIV检测的人。但是,对于不符合Medicare资格且对HIV测试呈阳性的人们进行持续治疗和护理的意义值得认真考虑。

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