艾滋病检测与治疗“一站式服务”工作模式可推广性与可持续性研究

发布时间：2018-05-17 07:01

本文选题：艾滋病 + 一站式服务　；参考：《中国疾病预防控制中心》2017年硕士论文

【摘要】：目的:本研究旨在评价艾滋病检测与治疗“一站式服务”工作流程及治疗效果的可推广性和可持续性。方法:以重庆江津区、大足区和新疆伊宁为研究现场,以新诊断艾滋病感染者为研究对象,定量研究比较推广前、推广中、推广后三个时期一定时间段内新诊断艾滋病感染者CD4检测率、抗病毒治疗比例以及死亡率。定性研究对相关工作人员进行深入访谈,收集他们对一站式服务模式可持续性的评价。结果:研究地区开展一站式服务后,新确认HIV(+)者确认后30天内CD4检测率、ART比例由推广前的49.6%、14.5%上升至推广期的83.9%、55.8%。确认后12个月内的CD4检测率、抗病毒治疗(ART)比例分别由推广前的79.4%、49.4%上升至推广期的94.9%、71.7%,死亡率由推广前的12.5%降至推广期的8.8%。推广期和推广后相比,确认后12个月内CD4检测率、ART比例无明显差异;12个月内死亡率由推广期的8.8%进一步下降至推广后的5.7%。定性分析显示:经过一站式服务优化后,艾滋病相关诊断、治疗程序已基本巩固。一站式服务推广结束后,各地区各机构仍将该模式应用于艾滋病的相关工作。结论:三个地区实施一站式服务工作模式效果具有可推广性和可持续性。
[Abstract]:Objective: the purpose of this study was to evaluate the one-stop service workflow and the effectiveness of AIDS detection and treatment. Methods: taking Chongqing Jiang Jin district, Dazu district and Yining Xinjiang as the research sites, and taking the newly diagnosed AIDS patients as the research objects, the quantitative study was carried out before and during the promotion. The rates of CD4 detection, antiviral treatment and mortality of newly diagnosed AIDS patients in a certain period of time after promotion. Qualitative research conducted in-depth interviews with relevant staff to collect their assessment of the sustainability of the one-stop service model. Results: after the one-stop service was carried out in the study area, the CD4 detection rate and art ratio increased from 49.6% to 83.9% and 55.8% within 30 days after the new confirmation. The rate of CD4 detection and antiviral therapy were increased from 79.4% to 94.9%, and the mortality rate decreased from 12.5% to 8.8%. There was no significant difference in CD4 detection rate and art ratio within 12 months after extension, and the mortality rate in 12 months decreased further from 8.8% in extension period to 5.7% after popularization. Qualitative analysis showed that: after one-stop service optimization, AIDS-related diagnosis, treatment procedures have been basically consolidated. After the promotion of one-stop service, agencies in all regions will still apply the model to the work related to AIDS. Conclusion: the effect of one-stop service mode in three regions is extensible and sustainable.
【学位授予单位】：中国疾病预防控制中心
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R512.91

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