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Young people’s experiences of being involved in quality improvement of youth mental health services 青少年参与提高青少年心理健康服务质量的经验
Pub Date : 2024-02-12 DOI: 10.1007/s44250-024-00068-8
Stig Bjønness, Charlotte Leidland, Louise A. Ellis, E. Ree
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引用次数: 0
Healthcare provider perspectives on the facilitators, barriers and unexplored opportunities to support the recovery of clients on medications for opioid use disorder in Kenya 从医疗服务提供者的角度看肯尼亚支持阿片类药物使用障碍患者康复的促进因素、障碍和尚未开发的机会
Pub Date : 2024-02-08 DOI: 10.1007/s44250-024-00067-9
Geoffrey Muriithi Maina, Ghazal Mousavian, Barbara Twum-Antwi, Jackline Mwangi, S. Kiburi
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引用次数: 0
Healthcare provider perspectives on the facilitators, barriers and unexplored opportunities to support the recovery of clients on medications for opioid use disorder in Kenya 从医疗服务提供者的角度看肯尼亚支持阿片类药物使用障碍患者康复的促进因素、障碍和尚未开发的机会
Pub Date : 2024-02-08 DOI: 10.1007/s44250-024-00067-9
Geoffrey Muriithi Maina, Ghazal Mousavian, Barbara Twum-Antwi, Jackline Mwangi, S. Kiburi
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引用次数: 0
‘Of’ the community but not ‘of’ the health system: Translating community health workers’ knowledge into credible advice in Aceh, Indonesia 属于'社区'而非'卫生系统':在印度尼西亚亚齐,将社区卫生工作者的知识转化为可信的建议
Pub Date : 2024-02-01 DOI: 10.1007/s44250-024-00069-7
Madeleine Randell, Mu Li, C. Rachmi, H. Jusril, S. Abimbola, Andi Yoga Tama, Tira Aswitama, Natassya Phebe, Sulasmi, N. Alam, J. Negin, S. Bernays
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引用次数: 0
‘Of’ the community but not ‘of’ the health system: Translating community health workers’ knowledge into credible advice in Aceh, Indonesia 属于'社区'而非'卫生系统':在印度尼西亚亚齐,将社区卫生工作者的知识转化为可信的建议
Pub Date : 2024-02-01 DOI: 10.1007/s44250-024-00069-7
Madeleine Randell, Mu Li, C. Rachmi, H. Jusril, S. Abimbola, Andi Yoga Tama, Tira Aswitama, Natassya Phebe, Sulasmi, N. Alam, J. Negin, S. Bernays
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引用次数: 0
Community Health Workers’ experiences of an intervention to provide them with increased support and supervision: a qualitative study of a home visiting model in rural South Africa 社区保健工作者对为其提供更多支持和监督的干预措施的体验:对南非农村地区家访模式的定性研究
Pub Date : 2024-01-30 DOI: 10.1007/s44250-023-00064-4
L. Stansert Katzen, S. Skeen, E. Dippenaar, C. Laurenzi, V. Notholi, K. L. le Roux, I. le Roux, N. Waluwalu, N. Mbewu, M. J. Rotheram Borus, M. Tomlinson
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引用次数: 0
Impact of the PCMH model on post-stroke healthcare utilization PCMH 模式对中风后医疗利用率的影响
Pub Date : 2024-01-09 DOI: 10.1007/s44250-024-00066-w
Ko-Shin Chen, Meng Wu, Linda S. Efferen
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引用次数: 0
Impact of COVID-19 restrictions on diabetes mellitus management in Qatari primary care settings COVID-19 限制对卡塔尔初级医疗机构糖尿病管理的影响
Pub Date : 2024-01-05 DOI: 10.1007/s44250-024-00065-x
Ahmed Sameer Al Nuaimi, Muhammad Tanveer Alam, Mariam Hassan, M. Syed
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引用次数: 0
Community perspectives on the use of extension offices for behavioral health 社区对使用行为健康推广办公室的看法
Pub Date : 2024-01-04 DOI: 10.1007/s44250-023-00059-1
Virginia Brown, Aaron Golson, Emily Goldstein, Maria Bowie, Diane Bales, Anna Scheyett
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引用次数: 0
POC Viral Load Testing in an Antenatal Clinic Setting for Ugandan Pregnant Women Living with HIV: An Implementation Process Analysis. 在乌干达艾滋病毒感染孕妇的产前诊所设置POC病毒载量检测:实施过程分析。
Pub Date : 2024-01-01 Epub Date: 2024-06-26 DOI: 10.1007/s44250-024-00103-8
Norma C Ware, Monique A Wyatt, Agnes Nakyanzi, Faith Naddunga, Emily E Pisarski, Juliet Kyomugisha, Juliet E Birungi, Michelle A Bulterys, Brenda Kamusiime, Alisaati Nalumansi, Vicent Kasiita, Andrew Mujugira, Connie L Celum

Introduction: Viral suppression during pregnancy and postpartum sustains the health of mothers living with HIV and reduces risk of transmitting HIV to newborns. Point of care viral load (POC VL) testing improves viral suppression and retention in care, and is increasingly being integrated into routine health services for African pregnant women living with HIV. We examined processes of implementing POC VL testing in antenatal care and at delivery for Ugandan mothers living with HIV as part of a pilot randomized trial (Clinical Trial Number: NCT05092997).

Methods: We conducted individual qualitative interviews with 12 (of 16) clinical and research staff who implemented POC VL testing ("implementers"), and 22 (of 151) mothers who received POC VL testing using the Xpert® HIV-1 Viral Load Assay (Cepheid Inc., Sunnyvale, CA, USA) as part of the trial. Implementer interviews covered knowledge, perceptions and experiences of implementing POC VL testing. Mothers' interviews covered attitudes, perceptions and experiences of receiving POC VL testing. Interview data were collected from December 2021 to September 2022. An inductive, content analytic approach was used to examine the interview transcripts. The goal was to develop thematic content categories addressing the question: How did a group of Ugandan health care providers ("implementers") approach the process of implementing POC VL testing in antenatal care and at delivery for mothers living with HIV?

Results: The inductive analysis of implementers' and mothers' qualitative accounts yielded three themes that speak to how health care staff approached implementation of POC VL testing in the pilot randomized trial. They created an efficient system of communication and then relied on that system to coordinate POC VL testing procedures. They also looked for and found ways of increasing the speed and efficiency of the testing process. Finally, they adopted a "mother-centered" approach to implementation, prioritizing the needs, preferences, and well-being of women in planning and carrying out testing procedures.

Conclusion: As POC VL testing becomes more widely used across high HIV burden settings, understanding how implementers think about and approach the implementation process and what they do to make an intervention successful will be an important part of evaluating feasibility.

在怀孕和产后抑制病毒可维持感染艾滋病毒的母亲的健康,并降低将艾滋病毒传播给新生儿的风险。护理点病毒载量(POC VL)检测改善了病毒在护理中的抑制和滞留,并越来越多地纳入非洲感染艾滋病毒孕妇的常规卫生服务。作为一项随机试验(临床试验编号:NCT05092997)的一部分,我们研究了在乌干达感染艾滋病毒的母亲的产前护理和分娩中实施POC VL检测的过程。方法:我们对实施POC VL检测的16名临床和研究人员中的12名(“实施者”)和接受POC VL检测的151名(22名)母亲进行了定性访谈,这些母亲使用Xpert®HIV-1病毒载量测定法(Cepheid Inc., Sunnyvale, CA, USA)作为试验的一部分。实现者访谈涵盖了实现POC VL测试的知识、认知和经验。母亲的访谈涵盖了接受POC VL测试的态度、看法和经验。访谈数据收集于2021年12月至2022年9月。一个归纳,内容分析的方法被用来检查采访笔录。目标是制定主题内容类别,以解决以下问题:一组乌干达保健提供者(“执行者”)如何处理在产前护理和分娩时对感染艾滋病毒的母亲进行POC VL检测的过程?结果:对实施者和母亲定性描述的归纳分析产生了三个主题,说明卫生保健人员如何在试点随机试验中实施POC VL测试。他们创造了一个有效的通信系统,然后依靠这个系统来协调POC VL测试程序。他们还寻找并找到了提高测试过程的速度和效率的方法。最后,它们采取了“以母亲为中心”的执行办法,在计划和执行检测程序时优先考虑妇女的需要、偏好和福祉。结论:随着POC VL检测在高艾滋病毒负担环境中得到更广泛的应用,了解实施人员如何思考和处理实施过程,以及他们如何使干预措施成功,将是评估可行性的重要组成部分。
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引用次数: 0
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Discover health systems
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