scholarly journals HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016

2018 ◽  
Vol 67 (28) ◽  
pp. 778-781 ◽  
Author(s):  
Mariette Marano ◽  
Renee Stein ◽  
Wei Song ◽  
Deesha Patel ◽  
Nicole Taylor-Aidoo ◽  
...  
2021 ◽  
Vol 21 (S2) ◽  
Author(s):  
R. Matulionytė ◽  
M. L. Jakobsen ◽  
V. I. Grecu ◽  
J. Grigaitiene ◽  
T. Raudonis ◽  
...  

Abstract Background Indicator condition guided HIV testing is a proven effective strategy for increasing HIV diagnosis in health care facilities. As part of the INTEGRATE Joint Action, we conducted four pilot studies, aiming to increase integrated testing for HIV/HCV/HBV and sexually transmitted infections, by introducing and expanding existing indicator condition guided HIV testing methods. Methods Pilot interventions included combined HIV/HCV testing in a dermatovenerology clinic and a clinic for addictive disorders in Lithuania; Increasing HIV testing rates in a tuberculosis clinic in Romania by introducing a patient information leaflet and offering testing for HIV/HCV/sexually transmitted infections to chemsex-users in Barcelona. Methods for implementing indicator condition guided HIV testing were adapted to include integrated testing. Testing data were collected retrospectively and prospectively. Staff were trained in all settings, Plan-do-study-act cycles frequently performed and barriers to implementation reported. Results In established indicator conditions, HIV absolute testing rates increased from 10.6 to 71% in the dermatovenerology clinic over an 18 months period. HIV testing rates improved from 67.4% at baseline to 94% in the tuberculosis clinic. HCV testing was added to all individuals in the dermatovenerology clinic, eight patients of 1701 tested positive (0.47%). HBV testing was added to individuals with sexually transmitted infections with a 0.44% positivity rate (2/452 tested positive). The Indicator condition guided HIV testing strategy was expanded to offer HIV/HCV testing to people with alcohol dependency and chemsex-users. 52% of chemsex-users tested positive for ≥ 1 sexually transmitted infection and among people with alcohol dependency 0.3 and 3.7% tested positive for HIV and HCV respectively. Conclusions The four pilot studies successfully increased integrated testing in health care settings, by introducing testing for HBV/HCV and sexually transmitted infections along with HIV testing for established indicator conditions and expanding the strategy to include new indicators; alcohol dependency and chemsex. HCV testing of individuals with alcohol abuse showed high positivity rates and calls for further implementation studies. Methods used for implementing indicator condition guided HIV Testing have proven transferable to implementation of integrated testing.


Author(s):  
Johanna Christy ◽  
Afni Efani Putri S

ABSTRAK Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik.   Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis                                             ABSTRACT   Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the value of the medical record and the filling of the medical record better.


1973 ◽  
Vol 3 (2) ◽  
pp. 237-244 ◽  
Author(s):  
G. W. Shannon ◽  
J. L. Skinner ◽  
R. L. Bashshur

Time and distance, the two common measures of travel, are examined as they relate to the use of various types of medical service facilities, using correlation and regression analysis. Different conclusions about the relative accessibility of health care facilities for selected sub-population groups result from the use of each measure separately. Differences in travel patterns to hospitals and those to physicians and dentists are observed when measured by time alone or by linear distance alone. Methodologic and health care implications are discussed.


Author(s):  
Christiana A. Oluwamotemi ◽  
Funmilayo A. Okanlawon ◽  
Elizabeth R. Edoni ◽  
Ademola L. Adelekan

Background: HIV testing services (HTS) act as a critical entry point to HIV care, treatment and prevention services, and offer the opportunity for specially-trained health care providers to encourage avoidance of high risk sexual behaviour among both HIV negative and HIV-positive individuals. However, there are some challenges that can hinder effective delivery of HIV Counseling and Testing services by health care providers. This study was therefore designed to investigate barriers to effective HIV testing services and strategies for its promotion at the primary health care facilities in Ibadan. Methods: This descriptive cross-sectional study was carried out among health care providers in primary health care facilities in five local government areas in Ibadan metropolis, Nigeria. A 4-stage sampling techniques was used to select 19 respondents and interviewed using key informant interview guide. Interviews were transcribed verbatim. Spot check of transcripts were conducted to ensure completeness of the transcription. The data were sorted, categorized, and analyzed using a qualitative data analysis computer software package (NVivo). Results: All the respondents interviewed reported that, there were pre and post-tests counseling including HIV testing services in their facilities. Some respondents added there were laboratory services and linkages to other care and support services for those tested positive to HIV. However, most of the respondents reported insufficient consumables, insufficient staff, no privacy, lack of infrastructures as barriers to effective HIV testing services. Many of the respondents recommended community sensitization, more provision for consumables, drugs and kits as strategies for promoting HIV testing services. Conclusion: This study revealed that the primary health centres have pre-test and post-test HIV counseling services but insufficient consumables and staff were the major barriers to HIV testing services in this study. It is therefore necessary for government to make provision for consumables and more personnel to boost the activities of the health facilities.


Author(s):  
Liliya Bobrishova

The study deals with the administrative and legal principles of the system of health care facilities at the Ministry of Internal Affairs, which are an element of medical care for employees of the National Police of Ukraine. It is noted that medical care for police officers is a component of such a common phenomenon as social security for law enforcement officers. It is noted that in the scientific work of researchers call social security also social protection, but the content of these definitions remains the same. It is emphasized that medical care is not limited to the system of medical measures carried out by the health authorities at the Ministry of Internal Affairs, it also includes the activities of governing bodies and departments of internal affairs, aimed at health or preventive measures among the staff and the elimination of harmful and health factors, and the Department of Health and Rehabilitation is implementing the state policy of the Ministry of Internal Affairs in the field of departmental health care. The definition of medical support of law enforcement agencies as a set of organizational, highly qualified forms and methods of medical care, logistics of treatment and prevention, sanitary and epidemiological and other measures, and social security of police is defined as a set of guarantees and legal norms that regulate the activities of police at the expense of the State in matters of social and material security of police in cases of disability, disability, retirement, detection of diseases related to professional duties or other circumstances, which are provided by special laws. The study provides a system of health care facilities at the Ministry of Internal Affairs according to the List of health care facilities of the Ministry of Internal Affairs of Ukraine approved by the Order of the Ministry of Internal Affairs (treatment and prevention facilities, sanitary prevention facilities, pharmaceutical facilities, medical commissions MIA).


Author(s):  
O. Hutsaliuk

The article discusses the problems of staffing the healthcare sector in Ukraine, since today it is growing due to the need for sustainable work of the healthcare system, namely the provision of qualified personnel and the availability of personnel, their qualifications and distribution, motivation, working conditions, remuneration, social well-being, financially, technical and technological support of the labor process determine the appropriate level of medical care to the population. It is noted that the implementation of effective staffing in the healthcare system is an important tool for reforming the medical sphere. It was established that the quality and availability of medical care for the population of the country depends on the level of provision of health care facilities with medical workers and their professional level. Keywords providing staff, health care, medical assistance, medical staff, regular staff, attestation of doctors.


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