中推廣自愿咨詢檢測(cè)-在線瀏覽
2025-02-23 07:54本頁(yè)面
【正文】 — 是否可以從中吸取適用的經(jīng)驗(yàn)教訓(xùn)？ ? Briefly review some oute data on counseling associated w/testing 簡(jiǎn)要回顧一些有關(guān)檢測(cè)的咨詢效果數(shù)據(jù) ? Propose some topics for further discussion 為進(jìn)一步討論提議若干主題 Background 背景 ? began ATS in 1985 in munity health clinics。 served over 250K people for HIV since 1985 年，率先開始在社區(qū)衛(wèi)生診所使用 ATS（收集追蹤系統(tǒng)）；自成立以來(lái)，為超過 25 萬(wàn)人次提供了艾滋病服務(wù) ? Began w/group ―pretest counseling‖ (video w/Q A) and individual posttest results focused on RR counseling 最早提供群體“檢測(cè)前咨詢”（視頻問答）和著重于 RR 咨詢的個(gè)體檢測(cè)后結(jié)果服務(wù) ? Since: multiple changes including indiv pre/post counseling。 confidential testing。 onsite STD screening/tx services。 Hepatitis A/B vaccines。 Individual Counseling... 單獨(dú)帳篷；單獨(dú)咨詢 … Example of ―added value‖ Service: Linkage to Care “增值” 服務(wù)示例：與護(hù)理聯(lián)接 ? In 1999, began specialized shortterm case management for all individuals who test HIVpositive through our HIV Counseling and Testing Program (HCAT). 1999 年開始通過 HIV 咨詢與檢測(cè)項(xiàng)目 (HCAT) 致力于對(duì)所有 HIV 檢測(cè)呈陽(yáng)性的患者進(jìn)行短期病例管理。每次會(huì)談均以患者需求為重點(diǎn)，旨在為患者提供適當(dāng)?shù)膹?fù)診轉(zhuǎn)介服務(wù)。 ? Already receiving services: 39% 已接受服務(wù)： 39% ? Wanted to see own MD first 28% 希望首先見到自己就診的醫(yī)師 28% ? Feeling too overwhelmed: 18% 感覺壓力太大： 18% ? Declined to give reason 9% 拒絕透露原因 9% 25550 55050100150200250300A c c e p t 接受 D e c l i n e 拒絕U n k n o w n 未知 Referral to Primary Medical Care 初級(jí)醫(yī)療護(hù)理轉(zhuǎn)介 Almost all (96%) clients were given an immediate referral to HIVspecific primary medical care services. 幾乎所有 (96%) 的患者在第一時(shí)間被推薦接受專門針對(duì) HIV 的初級(jí)醫(yī)療護(hù)理服務(wù)。 The most mon medical referrals were to: 最常見的醫(yī)療轉(zhuǎn)介如下： ? Private physicians or plans 私人醫(yī)生或計(jì)劃 ? Public Health clinics 公共衛(wèi)生診所 ? Alternative health care providers 其他可選健康護(hù)理提供方 *A ―successful‖ referral has been made when the client has contact with the referred anization or agency. * 患者若與轉(zhuǎn)介組織或機(jī)構(gòu)取得聯(lián)系，轉(zhuǎn)介即“成功”。 Typical Support Service Referrals: 典型支持服務(wù)轉(zhuǎn)介： ? ethnic/cultural identity based support groups for positives。 Is Counseling Associated with Testing Important? 將咨詢與檢測(cè)相關(guān)聯(lián)，這很重要嗎？ Knowledge of HIV infection is Prevention: Among those w/HIV 對(duì)感染 HIV 的知識(shí)即預(yù)防： HIV 攜帶者 68% 53% 1 0 0 8 0 6 0 4 0 2 00Total Reduction in Unprotected Intercourse 未采取保護(hù)措施的性行為減少總量 Reduction in Unprotected Intercourse with Known HIV Partner 已知性伴侶為 HIV 攜帶者而未采取保護(hù)措施的性行為減少量 Percent Reduction 減少比率 Marks G. JAIDS. 2023。 C T effectiveness studies 咨詢與檢測(cè)效果研究 ? Early evidence was variable: 早期癥狀具有多樣性： – Higgins (?91): metaanalysis of 24 studies: Higgins (?91)：對(duì) 24 項(xiàng)研究進(jìn)行薈萃分析 ? ―All longitudinal studies of homosexual men reported reductions in risky behavior among both tested and untested men, and a few reported greater decreases among seropositive men than among seronegative men and those untested or unaware of their serostatus.‖ “所有對(duì)男同性戀者的縱向研究表明，高危行為在已檢測(cè)與未檢測(cè)男性
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