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背景英国全科医生积极鼓励机会性衣原体筛查。根据最近的政策变化,英国公共卫生局在2013—2014年试行了衣原体检测、避孕套、避孕信息的提供和HIV检测(简称3Cs和HIV检测)服务,其根据国家指南,将3Cs和HIV检测整合起来。目的确定年轻人对全科医生提供3Cs和HIV检测服务的看法。设计与场所2013年3—6月,在英国进行了定性访谈。方法在正常出诊之前或之后,对9名男性和21名女性患者(16~24岁)进行了30次访谈。数据被逐字记录并用专题框架进行分析。结果受访者表示,检测方式、时间安排和全科医生提供该服务的方式是向患者提供3Cs和HIV检测服务的重要影响因素。与其他性健康服务提供者相比,受访者明确倾向于由全科医生提供3Cs和HIV检测服务。受访者强调了检测的便利性、保密性,并认为性健康讨论应该是适当和常规的。对患者提供3Cs和HIV检测服务的障碍是患者会感到尴尬与不安、患者缺乏时间、患者的宗教信仰和某些患者可能会生气。促进全科医生向患者提供3Cs和HIV检测服务的建议包括提高患者的意识、确保保密性、保证该服务是以一种专业的非判断性的方式提供的。结论全科医生应该保证3Cs和HIV检测服务可以在其诊所进行且是以一种非判断性方式提供给合适的患者的,以此来促进患者接受3Cs和HIV检测服务的意愿。
Background British GPs are actively encouraging opportunistic screening of chlamydia. Based on recent policy changes, the British Public Health Bureau piloted the delivery of chlamydia testing, condoms, contraceptive information and HIV testing (referred to as 3Cs and HIV testing) services in 2013-2014, which integrated 3Cs and HIV testing according to national guidelines stand up. Objective To identify young people’s perception of GPs providing 3Cs and HIV testing services. Design and Place 2013-3-6 conducted a qualitative interview in the UK. Methods Nine male and 21 female patients (16-24 years) were interviewed 30 times before or after their normal visit. Data are recorded verbatim and analyzed using thematic frameworks. Results Respondents indicated that the modality of testing, scheduling, and the way GPs provide this service are significant contributors to the delivery of 3Cs and HIV testing services to patients. Compared with other sexual health service providers, respondents clearly prefer to provide 3Cs and HIV testing services by GPs. Respondents emphasized the convenience and confidentiality of testing and considered that sexual health discussions should be appropriate and routine. Barriers to providing 3Cs and HIV testing services to patients are embarrassing and disturbing patients, lack of time for patients, religious beliefs of patients and some patients who may become angry. Advocacy for general practitioners to provide patients with 3Cs and HIV testing services includes increasing patient awareness, ensuring confidentiality and ensuring that the service is provided in a professional, non-judgmental manner. Conclusion GPs should ensure that 3Cs and HIV testing services are available at their practice clinics and are delivered to the right patients in a non-judgmental manner to facilitate the patient’s willingness to receive 3Cs and HIV testing services.