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首页> 外文期刊>Public health reports >Public Health Detailing to Increase Routine HIV Screening in Baltimore, Maryland: Satisfaction, Feasibility, and Effectiveness
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Public Health Detailing to Increase Routine HIV Screening in Baltimore, Maryland: Satisfaction, Feasibility, and Effectiveness

机译：公共卫生细节增加常规HIV筛查在马里兰州巴尔的摩：满意度，可行性和有效性

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摘要

The objective of this study was to evaluate the satisfaction with, and the feasibility and effectiveness of, a public health detailing project focused on increasing routine human immunodeficiency virus (HIV) screening of people aged 13-64 by primary care providers working in areas of Baltimore City, Maryland, with high rates of HIV transmission (defined as a mean geometric viral load of >= 1500 copies/mL per census tract). In public health detailing, trained public health professionals (ie, detailers) visit medical practice sites to meet with providers and site staff members, with the intention of influencing changes in clinical practice policy and/or behavior. During 2014, detailers made personal visits and gave HIV Testing Action Kits containing maps, educational and guideline documents, and resource lists to 166 providers and office managers at 85 primary care sites. At follow-up, 88 of 91 (96.7%) providers and 37 of 38 (97.4%) clinic managers were very satisfied or satisfied with the project. Of the 79 sites eligible at follow-up (ie, those that had not closed or merged with another practice), 76 (96.2%) had accepted at least 1 HIV Testing Action Kit, and 67 of 90 (74.4%) providers had increased their HIV screening. Public health detailing projects can be used to educate and support providers, establish relationships between providers and local health departments, and disseminate public health messages.
机译：本研究的目的是评估一个公共卫生细节项目的满意度和可行性和有效性，该项目的重点是在巴尔的摩地区工作的初级护理提供者增加13-64岁的常规人类免疫缺陷病毒（HIV）筛查马里兰州市，高艾滋病毒传播率（定义为= 1500拷贝/ ml的平均几何病毒载量）。在公共卫生细节中，训练有素的公共卫生专业人士（即，细节）访问医疗实践网站，以与提供商和现场工作人员会面，目的是影响临床实践政策和/或行为的变化。 2014年，详情员可以访问艾滋病毒检测操作试剂盒，其中包含地图，教育和准则文件，以及在85个初级保健网站上的166个提供商和办公室管理人员。在随访中，91名（96.7％）提供者的88名，共37个（97.4％）诊所管理者非常满意或满足该项目。在有资格进行后续的79个网站的中（即没有关闭或与另一种做法结合的人），76（96.2％）已接受至少1个HIV测试动作套件，90个（74.4％）提供者增加了67个（74.4％）他们的艾滋病毒筛查。公共卫生细节项目可用于教育和支持提供商，在提供者和当地卫生部门之间建立关系，并传播公共卫生信息。

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