@文章{信息:doi/10.2196/15681，作者=“阿德agbo, Oluwafemi和Herbst, Carina和Blandford, Ann和McKendry, Rachel和Estcourt, Claudia和Seeley, Janet和Shahmanesh, Maryam”，标题=“探索移动医疗的候选人——在南非KwaZulu-Natal农村地区支持艾滋病毒检测和护理服务:定性研究”，期刊=“J Med Internet Res”，年=“2019”，月=“11”，日=“18”，卷=“21”，数=“11”，页=“e15681”，关键词=“mHealth;抗逆转录病毒治疗;艾滋病毒检测;南非;背景:近年来，移动通信技术(mHealth:移动健康)在慢性疾病管理中的应用显著增长。移动卫生干预措施有可能分散获得卫生保健的机会，并使其更加方便，特别是在资源有限的情况下。正是在这种背景下，我们的目标是(与潜在用户)共同开发新一代移动电话连接的艾滋病毒诊断检测和基于网络的临床护理途径，以在低收入和中等收入国家实现分散的艾滋病毒检测、预防和护理的最佳交付。目的:本研究的目的是了解如何开发移动健康干预措施，以克服现有艾滋病毒检测和护理服务的障碍，并在南非夸祖鲁-纳塔尔省农村地区一个贫穷的艾滋病毒高流行社区促进艾滋病毒自我检测和与预防和护理的联系。方法:对2个不同社区的潜在用户(包括卫生保健提供者)进行了54次深度访谈和9次焦点小组讨论。从理论上讲，根据候选人框架，从面试记录中确定主题，手动编码，并进行主题分析。 Results: Participants reported barriers, such as fear of HIV identity, stigma, long waiting hours, clinic space, and health care workers' attitudes, as major impediments to effective uptake of HIV testing and care services. People continued to reassess their candidacy for HIV testing and care services on the basis of their experiences and how they or others were treated within the health systems. Despite the few concerns raised about new technology, mobile phone--linked HIV testing was broadly acceptable to potential users (particularly men and young people) and providers because of its privacy (individual control of HIV testing over health provider--initiated testing), convenience (individual time and place of choice for HIV testing versus clinic-based testing), and time saving. Conclusions: Mobile phone--connected HIV testing and Web-based clinical care and prevention pathways have the potential to support access to HIV prevention and care, particularly for young people and men. Although mHealth provides a way for individuals to test their candidacy for HIV services, the barriers that can make the service unattractive at the clinic level will also need to be addressed if potential demand is to turn into actual demand. ", issn="1438-8871", doi="10.2196/15681", url="//www.mybigtv.com/2019/11/e15681", url="https://doi.org/10.2196/15681", url="http://www.ncbi.nlm.nih.gov/pubmed/31738174" }