| 引用本文：金嘉杰, 王伟明, 曹园园, 朱国鼎, 周华云, 曹俊, 黄葭燕.疟疾快速诊断试纸条在消除疟疾阶段应用的可行性研究——基于江苏省的一项定性研究[J].中国卫生政策研究,2018,11(10):66-71 |
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| 疟疾快速诊断试纸条在消除疟疾阶段应用的可行性研究——基于江苏省的一项定性研究 |
| 投稿时间：2018-01-19 修订日期：2018-05-08 PDF全文浏览 HTML全文浏览 |
| 金嘉杰1, 王伟明2, 曹园园2, 朱国鼎2, 周华云2, 曹俊2, 黄葭燕1 |
1. 复旦大学公共卫生学院 国家卫生健康委员会卫生技术评估重点实验室 上海 200032;
2. 江苏省寄生虫病防治研究所国家卫生健康委员会寄生虫病预防和控制技术重点实验室 江苏省寄生虫与媒介控制技术重点实验室 江苏无锡 214064 |
| 摘要:目的：发现和总结消除疟疾阶段基层医疗卫生机构应用疟疾快速诊断试纸条（Rapid Diagnostic Test，RDT）的经验与问题，探讨在基层推广使用RDT的可行性，为改进疟疾诊断工作体系、适应疟疾消除阶段工作要求提供实证依据和政策建议。方法：在江苏省选取4个设区市作为研究现场调查点，在市、县、乡镇三个层面邀请医疗机构临床医师、检验人员、疾控机构疟疾防治人员及疟疾曾患病例共计36名研究对象，开展面对面半结构式关键知情人访谈和焦点小组访谈。结果：试点阶段江苏省基层疟疾防治人员对于RDT持谨慎欢迎态度，缺乏配套培训体系和RDT定位的不明晰是导致上述人员在实际工作中遭遇困惑和挑战的主要原因。临床医师对于疟疾诊治工作的态度和对于疟疾诊断技术的认知主要取决于其实际接诊疟疾病例经验和所在地区出国务工人员数量，不同地区间差异较大。结论：在基层医疗机构有开展RDT的需求和可能性，但需进一步加强对疟疾防治人员的培训和对临床医生的相关知识宣传。 |
| 关键词:疟疾 快速诊断 利益相关者 培训 |
| 基金项目:江苏省科技厅能力提升项目（BM2015024-1）；江苏省重点研发计划（BE2016631）；无锡市卫生局科研课题项目（MS201528）；无锡市科技创新与产业升级引导资金项目（CSE31N1620） |
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| Feasibility study on Rapid Diagnostic Test application and practice of malaria in the eradication phase: A qualitative research conducted in Jiangsu province |
| JIN Jia-jie1, WANG Wei-ming2, CAO Yuan-yuan2, ZHU Guo-ding2, ZHOU Hua-yun2, CAO Jun2, HUANG Jia-yan1 |
1. School of Public Health, Fudan University, Key Laboratory of Health Technology Assessment, National Health Commission, Shanghai 200032, China;
2. Jiangsu Institute of Parasitic Diseases, Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Wuxi Jiangsu 214064, China |
| Abstract:Objective:To discover and summarize the problems and useful practices in the current primary-level application of Rapid Diagnostic Test (RDT) of malariain the eradicationphase,and explore the feasibility of overall introduction of RDT in primary-level medical institutions.There in after, empirical evidence and policy suggestions are provided for the improvement of primary-level malaria diagnosis systemto better meet the working requirements in the malaria eradication phase. Methods:We selected four districts as theresearch sites from which 36 respondents were invited from city, county and township level.All of the respondents invited to receive face-to-face semi-structural key informants' interviews included hospital physicians, hospital lab professionals, CDC malaria prevention and control professionals, and previous malaria patients. The interviewing system was focused on group interviews.Results:In the current stage, the primary-level malaria control professionals cautiously welcomed the RDT technology application. The lack of complete and specific training system and unclear RDT technological orientation were the two main reasons for the confusions and challenges faced by the above-mentioned professionals in the practical work at the primary-level. The primary-level hospital physicians' attitude towards malaria diagnosis and treatment, and their awareness of related technologies highly depended on their actual experience of receiving malaria cases and the number of residents coming back from their foreign working places (especially Sub-Saharan Africa) within their hospitals' service areas as well, which also differs across different regions. Conclusions:From the actual need of healthcare professionals and malaria patients, it is necessary and feasible to introduce RDT in primary-level medical institutions, but on the condition that further strengthening of the training on malaria prevention and control, and essential education on the existing knowledge are provided. |
| Key words:Malaria Rapid diagnosis Stakeholder Training |
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