Task-shifting of combination sexual health services from clinicians to community workers has been well-studied in low-resource settings, but lacks empirical examination as a response to service inequities in North American community-based AIDS service organisations (ASOs). This study adopts a qualitative exploratory approach to understanding how ASOs may support task-shifting for gay, bisexual and other men who have sex with men (GBMSM), drawing from interviews (n = 33) with clinicians and community workers in southern Ontario. Results include intra-organisational (including resource supports, development of community worker roles, providing task-shifting training, provider representation and inclusive service environment) and inter-organisational (including structure of engagement, streamlining referrals, development of effective partnerships, development of a formal organisational network and increasing awareness) dynamics which, when applied at an organisation level within ASOs, encourage successful and effective task-shifting. Related activities may be used to increase service quality and access for GBMSM. Considerations for application and management practice is provided.

中文翻译：

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探索支持艾滋病服务组织中任务转移机会的组织间和组织内动态：一项定性研究

联合性健康服务从临床医生到社区工作者的任务转移在资源匮乏的环境中得到了充分研究，但缺乏实证检验作为对北美社区艾滋病服务组织 (ASO) 服务不公平现象的回应。本研究采用定性探索方法来了解 ASO 如何支持男同性恋者、双性恋者和其他男男性接触者 (GBMSM) 的任务转移，该研究借鉴了对 安大略省南部临床医生和社区工作者的采访 ( n = 33)。结果包括组织内部（包括资源支持、社区工作者角色的发展、提供任务转移培训、提供者代表和包容性服务环境）和组织间（包括参与结构、简化推荐、有效合作伙伴关系的发展、正式组织网络的发展和提高意识）动态，当在 ASO 内的组织级别应用时，鼓励成功和有效的任务-转移。相关活动可用于提高 GBMSM 的服务质量和访问权限。提供了应用和管理实践的注意事项。