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卫生系统内艾滋病防治工作的主要问题、原因及解决思路
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| 投稿时间： 2014-05-27 最后修改时间： 2014-09-20 摘要点击次数: 4113 全文下载次数: 1778 |
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| 引用本文：徐鹏, 张大鹏, 马福昌,等.卫生系统内艾滋病防治工作的主要问题、原因及解决思路[J].中国卫生政策研究,2014,7(10):68-72 |
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| 徐鹏1, 张大鹏1, 马福昌1, 马丽萍1, 琚腊红1, 陈婉莹1, 韩琳2, 吕繁1 |
1. 中国疾病预防控制中心性病艾滋病预防控制中心 北京 102206;
2. 甘肃省人民医院 甘肃兰州 730000 |
| 基金项目:国家自然科学基金(71373008,71003089);中国—盖茨基金会艾滋病防治合作项目(OPP49277);甘肃省杰出青年科学基金(1210RJDA012) |
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| | 摘要:目的:归纳卫生系统内各类医疗卫生机构开展艾滋病防治工作的主要问题,分析原因,提出解决策略.方法:对30个省份的184个省市县三级医疗卫生机构中从事艾滋病防治工作五年以上的领导或专家进行问卷调查,调查内容为艾滋病防治各领域及工作中存在的问题、原因及解决思路.结果:根据调查对象的打分和专家论证,确定了主要问题,包括:疾控机构人力存在不足、相关机构参与程度不够、艾滋病病人手术难、检测力度不够、艾滋病病人随访困难、医疗保障有缺陷等.结论:在分析问题及其原因的基础上,提出解决策略:清晰界定各类医疗卫生机构的防艾工作职责、促进基层医疗卫生机构开展艾滋病防治工作、健全艾滋病病人医疗服务体系、完善艾滋病医疗保障政策、改革抗病毒治疗药品的管理体制、加强疾病预防控制中心的技术支撑作用等. | |
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关键词:艾滋病 医疗卫生系统 问题 原因 策略
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| Main issues, causes and strategies for AIDS prevention and control in health care systems |
| XU Peng1, ZHANG Da-peng1, MA Fu-chang1, MA Li-ping1, JU La-hong1, CHEN Wan-ying1, HAN Lin2, LV Fan1 |
1. National Center for STD/AIDS Control and Prevention, China Center for Disease Control and Prevention, Beijing 102206, China;
2. Gansu Provincial Hospital, Lanzhou Gansu 730000, China |
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| | Abstract:Objective: To summarize the main issues, analyze the causes and offer a strategy for AIDS prevention and control for all types of healthcare facilities in the health care system. Methods: 184 leaders and experts of tertiary-level healthcare facilities (provinces, cities and counties) from 30 provinces who had been engaged in AIDS prevention and control for more than five years were studied through a questionnaire including the issues and causes in AIDS prevention and control. Results: According to the results of the respondents and experts' demonstration, the main issues were identified, including a lack of human resources in the system of disease control facilities, a lack of relevant agencies involved in AIDS response, the difficulty for AIDS patients to receive surgery and follow-up, poor detection of HIV, shortcomings in medical insurance, and so on. Conclusion: Based on the analysis of issues and causes, the paper offers strategic solutions: Clearly define the responsibilities of various health institutions in AIDS prevention and control; promote the participation of primary health institutions in AIDS prevention and control; improve the medical service system for AIDS patients; improve AIDS medical security policies; reform the management system of antiretroviral therapy drugs; and strengthen technical support from disease control facilities. | |
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