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首页> 外文期刊>Journal of public health management and practice: JPHMP >Physician and nurse perspectives on implementation of universal adult HIV screening guidelines in the Indian health service: results of a randomized survey.
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Physician and nurse perspectives on implementation of universal adult HIV screening guidelines in the Indian health service: results of a randomized survey.

机译：医师和护士对印度卫生服务机构实施成人艾滋病毒普查通用指南的观点：随机调查的结果。

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摘要

OBJECTIVES: We sought to determine attitudes and needs among health care providers in the Indian Health Service toward implementing routine human immunodeficiency virus (HIV) screening among 13- to 64-year-olds as per Centers for Disease Control and Prevention (CDC) guidelines. METHODS: We surveyed a random sample of Indian Health Service physicians and nurses by e-mail and telephone interview. A total of 205 eligible respondents (response rate = 70%) completed the survey. RESULTS: A majority (58%) of respondents were familiar or somewhat familiar with the 2006 CDC guidelines on HIV screening for 13- to 64-year-olds. A proportion of respondents (43%) felt that community HIV prevalence was below the 0.1% threshold the CDC recommends to initiate screening. Respondents supported routine, rather than solely risk-based HIV testing (70%) and stated that HIV screening would be realistic in their health facility (51%). Respondents felt that they needed special qualification to offer an HIV test (49%) or to notify a patient of a "reactive" HIV test result (67%). CONCLUSIONS: A majority of Indian Health Service physicians and nurses support the CDC HIV screening guidelines. Providers need more information and training on HIV screening guidelines, implementation strategies, and relevant state HIV regulations.
机译：目的：我们试图确定印度卫生局医疗保健提供者的态度和需求，以按照疾病控制与预防中心（CDC）指南在13至64岁的人群中进行常规人类免疫缺陷病毒（HIV）筛查。方法：我们通过电子邮件和电话采访对印度卫生服务的医生和护士进行了随机抽样调查。共有205名合格受访者（答复率= 70％）完成了调查。结果：大多数（58％）的受访者熟悉或有点熟悉2006年CDC的13至64岁艾滋病毒筛查指南。一部分受访者（43％）认为社区艾滋病毒感染率低于CDC建议开始筛查的0.1％阈值。受访者支持常规而非仅基于风险的艾滋病毒检测（70％），并表示在其医疗机构进行艾滋病毒筛查是切合实际的（51％）。受访者认为，他们需要特殊的资格才能进行HIV测试（49％）或将“反应性” HIV测试结果通知患者（67％）。结论：大多数印度卫生服务的医生和护士支持CDC HIV筛查指南。提供者需要更多有关HIV筛查指南，实施策略和相关州HIV法规的信息和培训。

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