Provider-initiated HIV testing in health care settings: should it include client-centered counselling?
Provider-initiated HIV testing in health care settings: should it include client-centered counselling?
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DOI：
10.1080/17290376.2009.9724939
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发表时间：
2009-11
期刊：
影响因子：
--
通讯作者：
Stein M
中科院分区：
文献类型：
--
作者：
Kiene SM;Bateganya M;Wanyenze R;Lule H;Mayer K;Stein M
为了增加获得艾滋病毒检测的机会，世卫组织和疾病预防控制中心建议实施提供者发起的艾滋病毒检测（PITC）。为了解决PITC设置的资源限制，世卫组织和疾病预防控制中心建议，PITC期间的患者-提供者互动可能需要专注于提供信息和转诊，而不是像客户发起的艾滋病毒检测期间所建议的那样，让患者参与以客户为中心的咨询。在减少艾滋病毒风险行为和性传播感染发病率方面，提供艾滋病毒预防信息的效果不如以客户为中心的咨询。因此，人们对PITC作为一种预防艾滋病毒方法的效力表示关切。然而，如果更多的人通过扩大PITC的可用性了解他们的艾滋病毒状况，即使PITC不如客户发起的艾滋病毒检测对个体患者有效，艾滋病毒发病率的降低可能会更大。在这个公共卫生问题的答案的情况下，适应有效的简短的以客户为中心的咨询方法，PITC应探讨沿着研究评估PITC的疗效。
To increase access to HIV-testing the WHO and CDC have recommended implementing provider-initiated HIV-testing (PITC). To address the resource limitations of the PITC setting WHO and CDC suggest that patient-provider interactions during PITC may need to focus on providing information and referrals instead of engaging patients in client-centered counseling as is recommended during client-initiated HIV-testing. Providing HIV-prevention information has been shown to be less effective than client-centered counseling at reducing HIV-risk behavior and STI incidence. Therefore, concerns exist about the efficacy of PITC as an HIV-prevention approach. However, reductions in HIV incidence may be larger if more people know their HIV-status through expanded availability of PITC, even if PITC is less effective than is client-initiated HIV-testing for individual patients. In the absence of an answer to this public health question, adaptation of effective brief client-centered counseling approaches to PITC should be explored along with research assessing the efficacy of PITC.
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影响因子：
--
作者：
Samet, JH;Freedberg, KA;Hingson, R
通讯作者：
Hingson, R
DOI：
10.1097/qai.0b013e318030ffa9
发表时间：
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影响因子：
3.6
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