HIV Risk Assessment Practices of Primary Care Providers: A National Survey

初级保健提供者的艾滋病毒风险评估实践：全国调查

• 批准号: 7222372
• 负责人: Patrick M. High
• 金额: $ 1.79万
• 依托单位: HENRY M. JACKSON FDN FOR THE ADV MIL/MED
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-14 至 2008-05-13
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7222372
• 关键词: HIV infections; adolescence (12-20); adult human (21+); behavioral /social science research tag; clinical research; disease /disorder proneness /risk; health care personnel performance; human subject; patient care management; patient care personnel attitude; primary care physician; questionnaires

DESCRIPTION (provided by the applicant): Numerous public health and professional societies have called for physicians to conduct patient risk assessments that include HIV/AIDS. While the few national studies that have been conducted found that physicians infrequently conducted such risk assessments, no adequate measurement of this behavior has been carried out since 1996. Since that time, many changes in the epidemiology and treatment of the disease have occurred. The proposed study would provide data on the current practices of primary care physicians (i.e. obstetrician-gynecologists, family practice, general internal medicine and pediatrics) in the U.S. and identify factors related to non-compliance with HIV risk assessment recommendations. The specific aims of the proposed study are: 1) Identify the proportion of primary care physicians who are assessing their patients' HIV risk status on a routine basis and their level of compliance, and 2) Identify provider characteristics that are significantly associated with inadequate compliance. A questionnaire will be mailed to a national, cross-sectional, random sample of primary care physicians. This study will increase our understanding of why physicians do not assess their patients' HIV risk status. Such information could be used to design interventions that would increase HIV testing, timely treatment and preventive behaviors.

描述（由申请人提供）：许多公共卫生和专业协会呼吁医生进行包括艾滋病毒/艾滋病在内的患者风险评估。虽然已经进行的少数国家研究发现医生很少进行这种风险评估，但自1996年以来，没有对这种行为进行充分的测量。从那时起，该病的流行病学和治疗方法发生了许多变化。拟议的研究将提供有关美国初级保健医生（即妇产科医生、家庭医生、普通内科医生和儿科医生）当前做法的数据，并确定与不遵守艾滋病毒风险评估建议有关的因素。本研究的具体目的是：1)确定定期评估患者HIV风险状况的初级保健医生的比例及其依从性水平；2)确定与依从性不足显著相关的提供者特征。调查问卷将邮寄给全国，横断面，随机抽样的初级保健医生。这项研究将增加我们对为什么医生不评估病人的艾滋病毒风险状况的理解。这些信息可用于设计干预措施，以增加艾滋病毒检测、及时治疗和预防行为。