دورية أكاديمية

Understanding the effect of an educational intervention to optimize HIV testing strategies in primary care in Amsterdam – results of a mixed-methods study

التفاصيل البيبلوغرافية
العنوان: Understanding the effect of an educational intervention to optimize HIV testing strategies in primary care in Amsterdam – results of a mixed-methods study
المؤلفون: Bogers, Saskia, Nieuwkerk, Pythia, van Dijk, Nynke, Schim van der Loeff, Maarten, Geerlings, Suzanne, van Bergen, Jan, van Benthem, T., Bons, D., de Bree, G. J., Brokx, P., Davidovich, U., Deug, F., Heidenrijk, M., Hoornenborg, E., Prins, M., Reiss, P., van Sighem, A., van der Valk, M., de Wit, J., Zuilhof, W., Schat, N., Smith, D., van Agtmael, M., Ananworanich, J., van de Beek, D., van den Berk, G. E. L., Bezemer, D., van Bijnen, A., Bil, J. P., Blok, W. L., Bomers, M., Boyd, A., Brokking, W., Burger, D., Brinkman, K., de Bruin, M., Bruisten, S., Coyer, L., van Crevel, R., Dijkstra, M., van Duijnhoven, Y. T., van Eeden, A., Elsenburg, L., van den Elshout, M. A. M., Ersan, E., Felipa, P. E. V., Geijtenbeek, T. B. H., van Gool, J., Goorhuis, A., Groot, M.
المساهمون: Aidsfonds, H-TEAM Consortium
المصدر: BMC Primary Care ; volume 24, issue 1 ; ISSN 2731-4553
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
مصطلحات موضوعية: Family Practice
الوصف: Background In the Netherlands, general practitioners (GPs) play a key role in provider-initiated HIV testing, but opportunities for timely diagnosis are regularly missed. We implemented an educational intervention to improve HIV testing by GPs from 2015 to 2020, and observed a 7% increase in testing in an evaluation using laboratory data. The objective for the current study was to gain a deeper understanding of whether and how practices and perceptions of GPs’ HIV/sexually transmitted infection (STI) testing behaviour changed following the intervention. Methods We performed a mixed-methods study using questionnaires and semi-structured interviews to assess self-reported changes in HIV/STI testing by participating GPs. Questionnaires were completed by participants at the end of the final educational sessions from 2017 through 2020, and participating GPs were interviewed from January through March 2020. Questionnaire data were analysed descriptively, and open question responses were categorised thematically. Interview data were analysed following thematic analysis methods. Results In total, 101/103 participants completed questionnaires. Of 65 participants that were included in analyses on the self-reported effect of the programme, forty-seven (72%) reported it had changed their HIV/STI testing, including improved STI consultations, adherence to the STI consultation guideline, more proactive HIV testing, and more extragenital STI testing. Patients’ risk factors, patients’ requests and costs were most important in selecting STI tests ordered. Eight participants were interviewed and 15 themes on improved testing were identified, including improved HIV risk-assessment, more proactive testing for HIV/STI, more focus on HIV indicator conditions and extragenital STI testing, and tools to address HIV during consultations. However, several persistent barriers for optimal HIV/STI testing by GPs were identified, including HIV-related stigma and low perceived risk. Conclusions Most GPs reported improved HIV/STI ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s12875-023-02161-y
DOI: 10.1186/s12875-023-02161-y.pdf
DOI: 10.1186/s12875-023-02161-y/fulltext.html
الإتاحة: https://doi.org/10.1186/s12875-023-02161-yTest
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.E0712720
قاعدة البيانات: BASE