AutomedicationFrancoV1, Main, Exploration, bibRecord, 000185

Identifying key elements to inform HIV-testing interventions for primary care in Belgium.

Identifieur interne : 000185 ( Main/Exploration ); précédent : 000184; suivant : 000186

Identifying key elements to inform HIV-testing interventions for primary care in Belgium.

Auteurs : Hanne Apers [Belgique] ; Christiana Nöstlinger [Belgique, Autriche] ; Dominique Van Beckhoven [Belgique] ; Jessika Deblonde [Belgique] ; Ludwig Apers [Belgique] ; Katleen Verheyen [Belgique] ; Jasna Loos [Belgique]

Source :

Health promotion international [ 1460-2245 ] ; 2020.

RBID : pubmed:31056680

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Assistance (MeSH), Attitude du personnel soignant (MeSH), Belgique (MeSH), Dépistage de masse (psychologie), Femelle (MeSH), Humains (MeSH), Infections à VIH (diagnostic), Infections à VIH (psychologie), Mâle (MeSH), Médecins généralistes (psychologie), Recherche qualitative (MeSH), Soins de santé primaires (MeSH).
MESH :
- diagnostic : Infections à VIH.
- psychologie : Dépistage de masse, Infections à VIH, Médecins généralistes.
- Adulte, Adulte d'âge moyen, Assistance, Attitude du personnel soignant, Belgique, Femelle, Humains, Mâle, Recherche qualitative, Soins de santé primaires.
Wicri :
- geographic : Belgique.

English descriptors

KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Belgium (MeSH), Counseling (MeSH), Female (MeSH), General Practitioners (psychology), HIV Infections (diagnosis), HIV Infections (psychology), Humans (MeSH), Male (MeSH), Mass Screening (psychology), Middle Aged (MeSH), Primary Health Care (MeSH), Qualitative Research (MeSH).
MESH :
- geographic : Belgium.
- diagnosis : HIV Infections.
- psychology : General Practitioners, HIV Infections, Mass Screening.
- Adult, Attitude of Health Personnel, Counseling, Female, Humans, Male, Middle Aged, Primary Health Care, Qualitative Research.

Abstract

General practitioners (GPs) play a key role in reducing the hidden HIV-epidemic, but many diagnostic opportunities are missed in primary care. This study aimed at informing the development of an HIV-testing intervention for GPs in Flanders (Belgium) using formative research with a participatory approach. Through the active involvement of an advisory board and 16 group discussions with 122 Flemish GPs, GPs' current HIV-testing practices and perceived practical relevance of 2 distinct HIV-testing strategies (i.e. provider-initiated testing of key populations and indicator condition-based testing) were explored in terms of their relevance and feasibility in routine primary care. Self-reported HIV-testing practices revealed that most tests performed were patient-initiated, pretest counseling was rarely done, and post-test counseling was offered mainly for patients with an HIV-diagnosis. GPs reported multiple barriers to provider-initiated HIV-testing, i.e. personal discomfort, fear of offending their patient, limited knowledge of benefits of early HIV-diagnosis, misconceptions about HIV-risks, lack of guidelines and time. Difficulties to identify patient's sexual orientation or ethical concerns were mentioned as barriers for target group-based HIV testing. GPs assessed the current list of 64 indicator conditions as too difficult to integrate in routine care, deeming a reduced list of GP-relevant conditions as more feasible. Combined strategies (i.e. target group- and indicator-based testing) supported by official screening recommendations were perceived as successful strategies for provider-initiated HIV-testing in primary care. This formative research delivered qualitative evidence for the development of an HIV-testing intervention for primary care settings.

DOI: 10.1093/heapro/daz037
PubMed: 31056680
PubMed Central: PMC7250498

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000501
to stream Main, to step Curation: 000501

Le document en format XML

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<term>Attitude of Health Personnel (MeSH)</term>
<term>Belgium (MeSH)</term>
<term>Counseling (MeSH)</term>
<term>Female (MeSH)</term>
<term>General Practitioners (psychology)</term>
<term>HIV Infections (diagnosis)</term>
<term>HIV Infections (psychology)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (psychology)</term>
<term>Middle Aged (MeSH)</term>
<term>Primary Health Care (MeSH)</term>
<term>Qualitative Research (MeSH)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Assistance (MeSH)</term>
<term>Attitude du personnel soignant (MeSH)</term>
<term>Belgique (MeSH)</term>
<term>Dépistage de masse (psychologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à VIH (diagnostic)</term>
<term>Infections à VIH (psychologie)</term>
<term>Mâle (MeSH)</term>
<term>Médecins généralistes (psychologie)</term>
<term>Recherche qualitative (MeSH)</term>
<term>Soins de santé primaires (MeSH)</term>
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<term>Médecins généralistes</term>
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<term>Attitude of Health Personnel</term>
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<term>Humans</term>
<term>Male</term>
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<term>Qualitative Research</term>
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<front><div type="abstract" xml:lang="en">General practitioners (GPs) play a key role in reducing the hidden HIV-epidemic, but many diagnostic opportunities are missed in primary care. This study aimed at informing the development of an HIV-testing intervention for GPs in Flanders (Belgium) using formative research with a participatory approach. Through the active involvement of an advisory board and 16 group discussions with 122 Flemish GPs, GPs' current HIV-testing practices and perceived practical relevance of 2 distinct HIV-testing strategies (i.e. provider-initiated testing of key populations and indicator condition-based testing) were explored in terms of their relevance and feasibility in routine primary care. Self-reported HIV-testing practices revealed that most tests performed were patient-initiated, pretest counseling was rarely done, and post-test counseling was offered mainly for patients with an HIV-diagnosis. GPs reported multiple barriers to provider-initiated HIV-testing, i.e. personal discomfort, fear of offending their patient, limited knowledge of benefits of early HIV-diagnosis, misconceptions about HIV-risks, lack of guidelines and time. Difficulties to identify patient's sexual orientation or ethical concerns were mentioned as barriers for target group-based HIV testing. GPs assessed the current list of 64 indicator conditions as too difficult to integrate in routine care, deeming a reduced list of GP-relevant conditions as more feasible. Combined strategies (i.e. target group- and indicator-based testing) supported by official screening recommendations were perceived as successful strategies for provider-initiated HIV-testing in primary care. This formative research delivered qualitative evidence for the development of an HIV-testing intervention for primary care settings.</div>
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<Abstract><AbstractText>General practitioners (GPs) play a key role in reducing the hidden HIV-epidemic, but many diagnostic opportunities are missed in primary care. This study aimed at informing the development of an HIV-testing intervention for GPs in Flanders (Belgium) using formative research with a participatory approach. Through the active involvement of an advisory board and 16 group discussions with 122 Flemish GPs, GPs' current HIV-testing practices and perceived practical relevance of 2 distinct HIV-testing strategies (i.e. provider-initiated testing of key populations and indicator condition-based testing) were explored in terms of their relevance and feasibility in routine primary care. Self-reported HIV-testing practices revealed that most tests performed were patient-initiated, pretest counseling was rarely done, and post-test counseling was offered mainly for patients with an HIV-diagnosis. GPs reported multiple barriers to provider-initiated HIV-testing, i.e. personal discomfort, fear of offending their patient, limited knowledge of benefits of early HIV-diagnosis, misconceptions about HIV-risks, lack of guidelines and time. Difficulties to identify patient's sexual orientation or ethical concerns were mentioned as barriers for target group-based HIV testing. GPs assessed the current list of 64 indicator conditions as too difficult to integrate in routine care, deeming a reduced list of GP-relevant conditions as more feasible. Combined strategies (i.e. target group- and indicator-based testing) supported by official screening recommendations were perceived as successful strategies for provider-initiated HIV-testing in primary care. This formative research delivered qualitative evidence for the development of an HIV-testing intervention for primary care settings.</AbstractText>
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<AffiliationInfo><Affiliation>Faculty of Psychology, University of Vienna, Vienna, Austria.</Affiliation>
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<ForeName>Dominique</ForeName>
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<AffiliationInfo><Affiliation>Epidemiology of Infectious Diseases Unit, Department of Public Health and Surveillance, Sciensano - Belgian Scientific Institute of Public Health, Ixelles, Belgium.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>General Practitioner, Opglabbeek, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>ELIZA - Center for General Practice, Department of Primary & Interdisciplinary Care Antwerp, University of Antwerp, Antwerp, Belgium.</Affiliation>
</AffiliationInfo>
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<ForeName>Jasna</ForeName>
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<AffiliationInfo><Affiliation>Group HIV and Sexual Health, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium.</Affiliation>
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Identifying key elements to inform HIV-testing interventions for primary care in Belgium.

Identifying key elements to inform HIV-testing interventions for primary care in Belgium.

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