What does it mean to be youth-friendly? Results from qualitative interviews with health care providers and clinic staff serving youth and young adults living with HIV.

IF 1.7 Q2 PEDIATRICS Adolescent Health Medicine and Therapeutics Pub Date : 2018-04-24 eCollection Date: 2018-01-01 DOI:10.2147/AHMT.S158759
Parya Saberi, Kristin Ming, Carol Dawson-Rose
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引用次数: 14

Abstract

Purpose: Given the consistent associations between younger age and numerous suboptimal clinical outcomes, there is a critical need for more research in youth living with human immunodeficiency virus (YLWH) and tailoring of health care delivery to the unique and complex needs of this population. The objective of this study was to examine the facilitators of and barriers to engagement in care among YLHW at the system and provider/staff level, as well as the barriers to using technology-based forms of communication with YLWH to improve retention and engagement in care.

Patients and methods: We conducted in-depth qualitative interviews with health care providers and staff members at the clinics and organizations serving YLWH in the San Francisco Bay Area.

Results: We interviewed 17 health care providers and staff members with a mean of 8 years of experience in providing clinical care to YLWH. Interviewees noted various facilitators of and barriers to engagement in care among YLWH, including the environment of the clinic (e.g., clinic location and service setting), provision of youth-friendly services (e.g., flexible hours and use of technology), and youth-friendly providers/staff (e.g., nonjudgmental approach). With regard to barriers to using technology in organizations and clinics, interviewees discussed the challenges at the system level (e.g., availability of technology, clinic capacity, and Health Insurance Portability and Accountability Act compliance), provider/staff level (e.g., time constraints and familiarity with technology), and youth level (e.g., changing of cellular telephones and relationship with provider/staff).

Conclusion: Given the need for improved clinical outcomes among YLWH, our results can provide guidance for clinics and institutions providing care for this population to enhance the youth-friendliness of their services and examine their guidelines around the use of technology.

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对青少年友好意味着什么?对为感染艾滋病毒的青年和年轻成人提供服务的卫生保健提供者和诊所工作人员进行定性访谈的结果。
目的:考虑到年轻与许多次优临床结果之间的一致关联,迫切需要对感染人类免疫缺陷病毒(YLWH)的青年进行更多的研究,并根据这一人群独特而复杂的需求量身定制医疗保健服务。本研究的目的是研究在系统和提供者/员工层面上,YLWH参与护理的促进因素和障碍,以及与YLWH使用基于技术的沟通形式来提高护理的保留和参与的障碍。患者和方法:我们对旧金山湾区的诊所和组织的卫生保健提供者和工作人员进行了深入的定性访谈。结果:我们采访了17名卫生保健提供者和工作人员,他们平均有8年的临床护理经验。受访者指出了促进青年妇女参与护理的各种因素和障碍,包括诊所环境(例如,诊所位置和服务设置),提供对青年友好的服务(例如,灵活的工作时间和技术的使用),以及对青年友好的提供者/工作人员(例如,不加评判的方法)。关于在组织和诊所使用技术的障碍,受访者讨论了系统层面(例如,技术的可用性、诊所能力和健康保险流通与责任法案的遵守)、提供者/工作人员层面(例如,时间限制和对技术的熟悉程度)和青年层面(例如,更换移动电话和与提供者/工作人员的关系)的挑战。结论:考虑到青少女青少女需要改善临床结果,我们的研究结果可以为为这一人群提供护理的诊所和机构提供指导,以提高他们的服务对青年的友好性,并检查他们在使用技术方面的指导方针。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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