HIV testing in the dental setting: perspectives and practices of experienced dental professionals.
HIV testing in the dental setting: perspectives and practices of experienced dental professionals.
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DOI：
10.1080/09540121.2017.1367087
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发表时间：
2018-03
期刊：
影响因子：
1.7
通讯作者：
Metsch LR
中科院分区：
文献类型：
--
作者：
Parish CL;Siegel K;Liguori T;Abel SN;Pollack HA;Pereyra MR;Metsch LR
牙科环境是一个基本上尚未开发的场所，以确定患者与未确诊的艾滋病毒感染。然而，牙科社区内快速艾滋病毒检测的使用率仍然很低。这项研究旨在更好地了解进行测试的牙科专业人员的经验，以及这些经验如何为促进牙科环境中快速艾滋病毒检测的更多采用提供信息。定性访谈进行了与美国牙医（N = 37）和牙科医生（N = 5）谁提供快速艾滋病毒检测在他们的做法。这些数据揭示了他们在其环境中实施测试时所经历的阻碍和促进因素，以及他们的工作人员，同事和患者的反应。总体而言，参与者认为快速艾滋病毒检测是有利的，认为它是一种有价值的公共卫生服务，易于管理，普遍为患者和工作人员所接受，易于融入临床实践。许多人都有过反应性测试结果的经验。与会者介绍了促进因素，如支助性后续行动资源。然而，他们也提到了持续存在的障碍，这些障碍限制了他们的牙科同事的接受，包括报销不足和认为与实践范围不相容。在牙科专业人员中广泛采用常规艾滋病毒检测可能需要扩大其在整体患者健康中的专业作用的适当范围的概念，沿着来自国家牙科组织，牙科教育和牙科保险公司的更多支持，特别是以足够的报销形式。
The dental setting is a largely untapped venue to identify patients with undiagnosed HIV infection. Yet, uptake of rapid HIV testing within the dental community remains low. This study sought to better understand the experiences of dental professionals who have administered the test and how these experiences might inform efforts to promote greater uptake of rapid HIV testing in dental settings. Qualitative interviews were conducted with United States dentists (N = 37) and hygienists (N = 5) who offered rapid HIV testing in their practices. The data revealed both the impeding and facilitating factors they experienced in implementing testing in their setting, as well as the reactions of their staff, colleagues, and patients. Overall, participants viewed rapid HIV testing favorably, regarding it as a valuable public health service that is simple to administer, generally well accepted by patients and staff, and easily integrated into clinical practice. Many had experience with a reactive test result. Participants described facilitating factors, such as supportive follow-up resources. However, they also cited persistent barriers that limit acceptance by their dental colleagues, including insufficient reimbursement and perceived incompatibility with scope of practice. The widespread adoption of routine HIV testing amongst dental professionals will likely require an expanded notion of the proper scope of their professional role in overall patient health, along with greater support from national dental organizations, dental education, and dental insurance companies, especially in the form of sufficient reimbursement.
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影响因子：
12.7
作者：
Pollack, Harold A.;Pereyra, Margaret;Metsch, Lisa R.
通讯作者：
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作者：
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通讯作者：
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影响因子：
158.5
作者：
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