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Interprofessional Collaboration and On-the-Job Training Improve Access to HIV Testing, HIV Primary Care, and Pre-Exposure Prophylaxis (PrEP)
AIDS Education and Prevention ( IF 1.920 ) Pub Date : 2018-12-01 , DOI: 10.1521/aeap.2018.30.6.474
Rogério M. Pinto 1 , Susan S. Witte 2 , Prema Filippone 2 , C. Jean Choi 3 , Melanie Wall 3
Affiliation  

The HIV Continuum of Care is a global priority, yet vulnerable patients face access/retention challenges. Research is missing on the role social and public health service providers can play to help these patients. Using structural equation modeling, we examined the effects of interprofessional collaboration (IPC) and on-the-job training on the frequency of linkages to HIV testing, HIV primary care, and on pre-exposure prophylaxis (PrEP) psychoeducation. The sample included 285 New York City providers of social and public health services from 34 agencies. Forty-eight percent of providers had not offered PrEP psychoeducation and linked fewer than five patients to HIV testing and primary care per week. However, in multivariate analysis higher IPC was associated with more linkages and frequent psychoeducation. After adjusting for IPC, linkage training was associated with more frequent services. The influence of specific factors highlights areas for interventions and policies to improve access to the HIV Continuum of Care.

中文翻译:

专业间的合作和在职培训可提高获得HIV检测,HIV初级保健和暴露前预防(PrEP)的机会

艾滋病毒连续体护理是全球优先事项,但脆弱的患者仍面临着获取/保留的挑战。社会和公共卫生服务提供者在帮助这些患者方面可以发挥的作用尚缺乏研究。我们使用结构方程模型,研究了专业间合作(IPC)和在职培训对与HIV检测,HIV初级保健和暴露前预防(PrEP)心理教育的联系频率的影响。样本包括来自34个机构的285家纽约市社会和公共卫生服务提供者。48%的提供者没有提供PrEP心理教育,每周只有不到五名患者与HIV检测和初级保健相关。但是,在多变量分析中,较高的IPC与更多的联系和频繁的心理教育有关。调整好IPC之后,链接培训与更频繁的服务相关。特定因素的影响突出了需要采取干预措施和制定政策以改善获得艾滋病毒连续体护理的机会。
更新日期:2018-12-01
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