GENERATING HYPOTHESES TO EXPLAIN DECLINING HIV INFECTION IN FOUR US JURISDICTIONS
GENERATING HYPOTHESES TO EXPLAIN DECLINING HIV INFECTION IN FOUR US JURISDICTIONS
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DOI：
10.1521/aeap.2015.27.1.84
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发表时间：
2015-02-01
影响因子：
1.8
通讯作者：
Holtgrave, David R.
中科院分区：
文献类型：
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作者：
Crowley, Jeffrey S.;Feirman, Shari;Holtgrave, David R.
本研究的目的是（1）提出假设，解释马萨诸塞州、北卡罗来纳州、弗朗西斯科和西雅图艾滋病发病率下降的原因;（2）根据从这些司法管辖区吸取的经验教训，为其他地方的实施提供建议。通过深入访谈，我们确定了各司法管辖区的利益相关者认为对取得成功成果至关重要的政策和做法。最一致的意见是，卫生部门内部的领导是取得成功的关键。有鉴于此，我们为公共卫生官员制定了一系列工具，以发挥领导作用，应对艾滋病毒带来的挑战：扩大获得医疗保险的机会，采用一系列方法增加对血清状况的了解，投资于服务以留住护理人员，收集和使用更好的数据，将数据转化为政策变化和公共卫生实践，为弱势群体制定有针对性的方案，尽量减少削弱计划成功的行政政策，并使资金来源多样化。
The aims of this study were (1) to generate hypotheses to explain declines in HIV incidence in Massachusetts, North Carolina, San Francisco, and Seattle, and (2) based on lessons learned from these jurisdictions, to offer recommendations for implementation elsewhere. Through in-depth interviews, we identified policies and practices that stakeholders across jurisdictions believe are important to achieving successful outcomes. The most unifying observation was that leadership within health departments is critical to achieving success. With this consideration, we developed a list of tools for public health officials to assert leadership to address challenges posed by HIV: extending access to health insurance, using an array of approaches to increase knowledge of serostatus, investing in services to retain people in care, collecting and using better data, translating data into policy change and public health practice, developing targeted programming for vulnerable populations, minimizing administrative policies that attenuate program success, and diversifying funding sources.