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Private providers and HIV testing in Pune, India: challenges and opportunities.

机译：印度浦那的私人提供者和艾滋病毒检测：挑战和机遇。

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摘要

We explored HIV testing practices of private medical providers in an urban Indian setting in Pune, western India. 215 private practitioners (PPs) and 36 persons-in-charge of private laboratories were interviewed in separate surveys. 77% of PPs had prescribed HIV tests and 94% of laboratories had performed HIV tests, or collected samples for HIV testing. Among those providers who had prescribed/performed tests, practices which violated national policy guidelines were found to be common. 55% of PPs and 94% of laboratories had not prescribed/performed confirmatory HIV tests, 82% of PPs had conducted routine HIV screening tests, 53% of PPs and 47% of laboratories had never counselled patients before testing, and 39% of laboratories reported breaching confidentiality of test results. PPs' knowledge about HIV tests was also inadequate, with 28% of PPs who had prescribed HIV tests being unable to name the tests they had advised. Prolific HIV testing in the private medical sector is accompanied by inappropriate practices and inadequate knowledge, reflecting deficiencies in the implementation of policy guidelines. The perspectives and needs of private providers, the major source of health care in India, need to be acknowledged. Supportive and regulatory mechanisms can be used to involve private providers in the delivery of better HIV testing services.
机译：我们在印度西部浦那的印度城市环境中探索了私人医疗服务提供者的HIV检测方法。在另外的调查中采访了215名私人医生和36名私人实验室负责人。 77％的PP进行了HIV检测，94％的实验室进行了HIV检测，或收集了用于HIV检测的样品。在规定/执行过测试的提供者中，发现违反国家政策准则的做法很普遍。 55％的PP和94％的实验室未进行处方/未进行确认性HIV检测，82％的PP进行了常规HIV筛查测试，53％的PP和47％的实验室在检测前从未咨询过患者，39％的实验室报告违反测试结果的机密性。 PP对HIV检测的知识也不足，有28％的处方HIV检测的PP无法命名他们所建议的检测。在私营医疗部门进行大量的艾滋病毒检测，伴随着不适当的做法和知识不足，反映出在执行政策准则方面的缺陷。需要承认私人提供者的观点和需求，这是印度医疗保健的主要来源。支持性和监管性机制可用于使私人提供者参与提供更好的HIV检测服务。

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