摘要
目的分析北京市东城区社区卫生服务机构参与艾滋病高危人群干预工作模式的可行性及改进策略。方法采用道斯矩阵态势分析(strengths,weaknesses,opportunities,threats;SWOT)方法对工作模式进行分析,根据定性访谈结果整理出该模式的内部优势和劣势、外部机会和挑战,构造道斯矩阵。结果对21人进行定性访谈,包括社区卫生服务机构工作人员9人,疾病预防控制中心(CDC)性病艾滋病防治科工作人员3人,娱乐场所业主3人,女性性工作者6人。社区卫生服务机构在专业性、可及性方面有开展艾滋病综合防治工作的内部优势,具备政策和理论经验支持的外部机会,但存在卫生资源配置不合理的内部劣势,面临多部门配合度低、干预对象稳定性不高等外部挑战。制定了四种改进策略,包括SO(strengths,opportunities)策略、WO(weaknesses,opportunities)策略、ST(strengths,threats)策略和WT(weaknesses,threats)策略。结论为提高社区卫生服务机构参与艾滋病高危人群干预工作的质量,扩大干预检测覆盖面,形成全社会共同参与的良好局面,应优先考虑ST多元化策略和WO扭转型策略,完善多部门联动机制,细化政策保障措施,优化卫生资源配置。
Objective This study aimed at exploring the working pattern of community health service(CHS)institutions’intervention with high-risk AIDS population and further analyzing on the feasibility and improvement strategy of such working pattern,in Dongcheng district of Beijing.Methods The working pattern investigation was finished with SWOT(strengths,weaknesses,opportunities,threats),and the SWOT was constructed with internal strengths and weaknesses vs.external opportunities and challenges drawn from qualitative interviews.Results There were totally 21 people taking part in qualitative interviews,including nine staffs from CHS,three staffs from CDC(center for disease control and prevention),three owners of recreation place and six female sex workers.As this study demonstrated,the CHS institutions posed internal strengths in professional accessibility to intervene high-risk population of AIDS and external opportunities supported by policy and theoretical experience;however,they also had to face with the internal weaknesses of unreasonable allocation of health resource and external challenges from poor cooperation among departments and wavy intervention targets.Thus,four improvement strategies including SO(strengths,opportunities,)strategy,WO(weaknesses,opportunities)strategy,ST(strengths,threats)strategy and WT(weaknesses,threats)strategy,were proposed to overcome these weaknesses and challenges.Conclusions Some managemental policies,such as strengthen interdepartmental cooperation,refinement of policy guarantee measures and optimizing health resource allocation should been implemented in order to improve the working quality,expand HIV testing and offer involvement chance for all people.In additionally,the ST diversification strategy and WO torsion strategy should be given priority.
作者
王媛媛
王联君
田飞
刘晶磊
WANG Yuan-yuan;WANG Lian-jun;TIAN Fei;LIU Jing-lei(Dongcheng District Center for Disease Control and Prevention,Beijing 100050,China)
出处
《首都公共卫生》
2020年第5期271-274,共4页
Capital Journal of Public Health
