背景:本研究旨在了解HIV/AIDS后续工作者对任务转移的态度,揭示这一实施的现状,以及找出早期实施的任何挑战。方法:以江西省为例,2016年11月至2017年1月,对CDC(疾病控制和预防中心)的102名卫生专业人员和初级卫生机构的92名卫生保健提供者进行了横断面调查.这项调查包括参与者的人口背景,他们对任务转移的态度,以及他们工作中面临的主要困难,等。结果:60.8%的专业人员和77.2%的提供者对任务转移持积极态度。卫生专业人员和提供者都对当地初级卫生机构中PLWHA(艾滋病毒感染者)的资金分配不明确和不确定以及缺乏机密性表示关切。结论:大多数卫生工作者对任务转移持积极态度。也突出了执行中的一些负面反应,并揭示了构成后续行动障碍的主要困难。这项研究的结果可能为加强任务转移的未来实施提供证据。
Background: This study aimed to understand attitudes of HIV/AIDS follow-up workers regarding task shifting, reveal the current conditions of this implementation, as well as to find out any challenges of early-stage implementation. Methods: Taking Jiangxi Province as an example, a cross-sectional survey with 102 health professionals in CDCs (Centers for Disease Control and Prevention) and 92 health care providers in primary health institutions was conducted from November 2016 to January 2017. This survey includes the demographic backgrounds of participants, their attitudes towards task shifting, and the main difficulties faced in their work, etc. Results: 60.8% of professionals and 77.2% of providers hold positive attitudes towards task shifting. Both health professionals and providers express their concerns about unclear and undefined funds distribution and lack of confidentiality of PLWHA (people living with HIV) in local primary health institutions. Conclusions: The majority of health workers hold positive attitudes towards task shifting. It also highlights some negative reactions in implementation, and reveals the main difficulties that constitute barriers to follow-up. Findings from this study may provide evidence for enhancing future implementation of task shifting.