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P5.04 Academic detailing in hiv: an alternative in primary care
  1. Ana Amélia Nascimento da Silva Bones,
  2. Airton Tetelbom Stein,
  3. Silvio César Cazella
  1. Universidade Federal de Ciências da Saúde de Porto Alegre, Brazil

Abstract

Introdution The 90-90-90 target predicts that by 2030 HIV infection will no longer be a global epidemic. In this context, the Protocol for the Treatment of HIV patients in Primary Care provides that all HIV patients receive the offer of antiretroviral treatment. This challenge requires a process of health education. Academic Detailing (DA) may be an alternative to accelerate the implementation of this new guideline. The purpose of this study is to discuss the principles of AD review the evidence of its effectiveness in, and potential for improving, HIV care.

Methods This is an ongoing study, with the partial results of the author of the thesis in the doctorate degree program in Health Science promoted by UFCSPA. The method is literature integrative review in which were followed: identification of the problem, defining the objective and lesson plan, searching for literature, the evaluation and analysis of found resources. The general educational research literature on improving physician performance was reviewed along with studies that were designed to test AD.

Results The study show that AD could modify doctors’ practices in primary care, when you understand the reasons for the behaviour. Brief reinforcement visits increase success rates and targeting programs to physicians at greatest need improves the cost effectiveness of educational interventions. This educational intervention has already been widely investigated for chronic diseases such as hypertension, diabetes, gynaecological and obstetric diseases. Studies have been conducted by Harvard to implement the treatment of HIV exposure prophylaxis. However, the management of people living with HIV/AIDS was not found in the literature.

Conclusions AD is one of the few educational interventions that has consistently demonstrated improved medical performance. AD methods to improve HIV practices in primary care are in need of much additional research. Improving the detection of sexual infections disorders and underuse of HIV health treatment may prove to be more difficult when teamwork don’t know the Guidelines.

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