新疆基层综合医院医务人员提供艾滋病检测咨询试点工作分析

发布时间：2018-01-15 17:06

本文关键词：新疆基层综合医院医务人员提供艾滋病检测咨询试点工作分析　出处：《中国艾滋病性病》2015年06期 　论文类型：期刊论文

【摘要】：目的探索新疆基层综合医院医务人员开展主动提供HIV检测咨询(PITC)的适宜模式。方法 2013年在新疆5个县的8家县级综合医院、40家乡镇/场医院开展PITC试点,收集数据进行分析。结果县级医院各门诊医务人员HIV推荐检测率、就诊者接受HIV检测率均高于乡镇级医院;乡镇级医院住院部医务人员HIV推荐检测率、就诊者接受HIV检测率高于县级医院。无论是HIV高流行区还是中低流行区,皮肤性病科、泌尿科、肛肠科、传染科、感染科等重点科室,HIV检测阳性率(2.04%)均高于其他科室(P0.01)。结论基层医院开展PITC工作需要政策的支持,开展医务人员的培训,加强各环节的衔接。在HIV高流行区,综合医院的所有科室开展PITC都是有效的,而在中低流行区,可以选择在一些重点科室开展PITC工作。
[Abstract]:Objective to explore a suitable model for medical staff of basic level general hospitals in Xinjiang to actively provide consultation for HIV detection. Methods in 2013, 8 county-level general hospitals in five counties of Xinjiang were selected. 40 township / field hospitals carried out PITC pilot and collected data for analysis. Results the HIV recommendation rate of outpatient medical staff in county-level hospitals was higher than that of township hospitals. The HIV recommendation rate of in-patient department of township hospitals was higher than that of county-level hospitals. The rate of HIV was higher in township hospitals than in county-level hospitals, whether in high or low prevalence areas of HIV, dermatovenereal diseases department, urology department. The positive rate of HIV detection in key departments such as anorectal, infectious and infection departments was higher than that in other departments (P 0.01). Conclusion policies are needed to support the development of PITC in primary hospitals. In the high prevalence area of HIV, it is effective to carry out PITC in all departments of the general hospital, but it is effective in the low and middle endemic area. You can choose to carry out PITC work in some key departments.
【作者单位】：新疆维吾尔自治区疾病预防控制中心;美国疾病控制和预防中心全球艾滋病项目中国办事处;伊宁县疾病预防控制中心;鄯善县疾病预防控制中心;
【基金】：中美艾滋病防治合作项目(5U2GPS001188) 国家科技重大专项“艾滋病和病毒性肝炎等重大传染病防治”(2013ZX10004907)~~
【分类号】：R512.91
【正文快照】： 为扩大艾滋病检测咨询的覆盖面,让更多的人知晓自己的艾滋病病毒(Human immunodeficiency vi-rus,HIV)感染状况,进而获得相应的治疗和预防服务。2007年世界卫生组织和联合国艾滋病规划署,在求询者主动寻求艾滋病检测咨询(Voluntarycounseling and testing,VCT)的基础上,发布了

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