客户和工作人员对 MyCheck 可接受性的看法:一种直接面向病理科的远程医疗和电子检测服务,用于全面筛查血液传播病毒和性传播感染

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES
Sexual health Pub Date : 2024-04-29 DOI:10.1071/sh23194
Lise Lafferty, Clinton Rautenbach, Anna McNulty, Nathan Ryder, Carolyn Slattery, Rebecca Houghton, Aurelie Kenigsberg, Carolyn Murray, Nigel Carrington, Prital Patel
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引用次数: 0

摘要

背景悉尼性健康中心(SSHC)是新南威尔士州(NSW)最大的性健康诊所,为性传播感染和血液传播病毒的高危人群提供服务。SSHC 在新南威尔士州各地约 500 家参与的病理采集中心中的一家试行了直接到病理采集中心的途径,以方便血液传播病毒/性传播感染检测。这项定性研究旨在了解 SSHC 客户和医疗服务提供者对 MyCheck 干预措施接受度的看法。方法对11名通过 "我的检查 "途径接受检测的客户和8名参与实施 "我的检查 "的工作人员进行了半结构式深度访谈。Sekhon 的 "可接受性理论框架 "的七个组成部分为本分析提供了依据。结果参与者普遍对 MyCheck 途径持 "情感态度"。远程医疗干预通过在适合客户的地点提供更方便的检测,并及时提供检测结果,减轻了客户的 "负担 "和 "机会成本"。客户和工作人员都提出了 "道德 "问题,因为病理中心的工作人员有几次被认为是在评判 SSHC 客户。干预措施的一致性 "问题主要是由于病理中心的工作人员不熟悉干预措施,而账单问题则是一个经常出现的问题。参与者认为 MyCheck 是一种 "有效 "的检测途径。通过信息技术的无缝整合("自我效能"),社会福利中心的工作人员能够轻松地提供干预服务。结论 社会福利健康中心的服务对象和工作人员都认为 "我的检查 "干预措施是一种可接受的血液传播病毒/性传播感染检测途径。然而,还需要进一步开展工作,以解决一些客户在前往病理采集中心时遇到的耻辱感问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Client and staff perceptions of acceptability of MyCheck: a direct-to-pathology telehealth and e-testing service for comprehensive bloodborne virus and sexually transmissible infection screening
Background

Sydney Sexual Health Centre (SSHC) is the largest sexual health clinic in New South Wales (NSW), servicing clients at high risk of sexually transmissible infections and bloodborne viruses. SSHC piloted a direct-to-pathology pathway that facilitated bloodborne virus/sexually transmissible infection testing at one of the ~500 participating pathology collection centres located across NSW. This qualitative study sought to understand SSHC client and provider perspectives of acceptability of the MyCheck intervention.

Methods

Semi-structured in-depth interviews were conducted with 11 clients who underwent testing via the MyCheck pathway and eight staff members involved in implementing MyCheck. The seven components of Sekhon’s Theoretical Framework of Acceptability informed this analysis.

Results

Participants broadly conveyed ‘affective attitude’ toward the MyCheck pathway. The telehealth intervention reduced client ‘burden’ and ‘opportunity cost’ through enabling greater testing convenience at a location suitable to them and provided timely results. Issues of ‘ethicality’ were raised by clients and staff as pathology centre staff were, on a few occasions, regarded as being judgmental of SSHC clients. ‘Intervention coherence’ issues were largely attributed to pathology centre personnel being unfamiliar with the intervention, with billing issues being a recurrent concern. Participants perceived MyCheck as an ‘effective’ testing pathway. SSHC staff were able to offer the intervention with ease through seamless IT integration (‘self-efficacy’).

Conclusion

The MyCheck intervention was perceived by both SSHC clients and staff as an acceptable bloodborne virus/sexually transmissible infection testing pathway. However, further work is required to address stigma experienced by some clients when attending pathology collection centres.

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来源期刊
Sexual health
Sexual health 医学-传染病学
CiteScore
2.30
自引率
12.50%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.
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