摘要
目的:综合评价四川某少数民族地区艾滋病随访管理工作现状,为提高随访质量,减缓艾滋病流行提供依据。方法:选取四川省某少数民族地区及当地艾滋病报告病例数最高的两个县,采用现有资料收集,座谈、个人深入访谈和问卷调查相结合的方法对艾滋病随访工作现况进行分析。结果:由疾控中心1名专职人员负责随访管理在内的所有艾滋病相关工作,各县随访经费使用不一致;首次随访主要采用面对面,后续主要以电话随访、集中检测的方式;2012年~2014年全州随访CD4+T淋巴细胞检测率在29.35%~39.80%之间;得知感染后与配偶/固定性伴每次坚持使用安全套的比例仅32.35%。结论:该地区随访管理机制有待完善;人力不足,缺乏激励机制;随访管理工作相对滞后,得知感染HIV后,感染者/病人仍发生非保护性性行为。建议落实首诊负责制,完善转介网络,加大对医疗卫生机构人力资源投入,在经费使用上实行目标管理,提高随访质量。
Objective To evaluate the status of follow - up management on HIV/AIDS cases in a minority region of Sichuan, and provide references for prevention. Methods Cases in a minority region and two counties with the most HIV/AIDS cases were selected and analyzed with focus group discussion, in - depth interview and questionnaires. Results The funds of follow - up management on HIV/AIDS cases were not consistent in different counties. The rates of CD4 T cells testing varied between 29. 35% and 39. 80% from 2012 to 2014. The proportion of consistent condom - using with spouse or fixed partners after receiving the notification was 32. 35%. Conclusion The follow - up management system on HIV/AIDS cases needs to be further improved. It is suggested to implement the first diagnosis responsibility system, optimize the transfer system, increase the input on human resources in medical institutions, and conduct the objective management.
出处
《中国卫生事业管理》
北大核心
2017年第6期472-473,480,共3页
Chinese Health Service Management
基金
四川省2016年省级财政补助"艾滋病防治"项目