Universal precautions in the era of HIV/AIDS: perception of health service providers in Yunnan, China.
With a rising HIV/AIDS epidemic, it has become especially important for health service providers in China to understand and correctly adhere to universal precautions. Using qualitative interview data, perspectives from both health administrators and service providers working at all levels of China's health care system were examined. Service providers admitted selective adherence and non-adherence to universal precautions in their daily medical practice, and gave their explanations for such behaviors. Lack of time to put on protective gear, gear's interference with medical procedures, lack of administrative support, heavy workload in hospitals, inaccurate risk assessment, and beliefs that compliance with universal precautions is unnecessary, time consuming and costly were mentioned as reasons behind noncompliance. Effective universal precaution interventions need to target both administrators and providers, and address both structural barriers and individual attitudinal and behavioral factors.
Wu
Sheng
S
Jane & Terry Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California at Los Angeles, 10920 Wilshire Boulevard, Suite #350, Los Angeles, CA 90024, USA. shwu@ucla.edu
Li
Li
L
Wu
Zunyou
Z
Cao
Haijun
H
Lin
Chunqing
C
Yan
Zhihua
Z
Jia
Manhong
M
Cui
Haixia
H
D000328:Adult; D001291:Attitude of Health Personnel; D002681:China; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D016635:Universal Precautions / Q000706:statistics & numerical data*; D055815:Young Adult