山东省艾滋病防治体系研究

发布时间：2018-05-19 14:44

本文选题：山东省 + 艾滋病　；参考：《山东大学》2007年硕士论文

【摘要】： 山东省自1992年在归国劳务人员中发现首例艾滋病病毒感染者以来,截至2005年6月30日,累计报告艾滋病病毒感染者653例,艾滋病病人183例,死亡98例。目前,山东省艾滋病病毒感染者和发病人数呈快速增长趋势,感染者以青壮年和农民为主,传播途径以血液传播为主,但三种艾滋病传播途径均已出现,预示着艾滋病在山东省的传播有可能进一步加快。面对这样的形势,山东省委、省政府高度重视艾滋病预防与控制工作,成立了艾滋病防治领导小组,建立了省政府艾滋病性病协调会议制度,明确了各成员单位工作职责,设立了艾滋病防治专项经费,同时山东省疾病预防控制中心争取了多项国际合作项目。目前我省艾滋病防治工作已经取得了初步的成效,各相关部门成立了相应的机构或组织进行艾滋病的宣传和干预活动,教育、民政、共青团、公安等部门积极配合,为全省艾滋病的防治工作起了积极作用。全省建立了艾滋病防治示范区,在示范区的基础上,总结经验,发现问题,为全省艾滋病防治的整体推进提供参考。但艾滋病防治工作与其他疾病的防治工作相比,有其社会性、综合性、复杂性、协调性、保密性和成绩不显现性等特点,其具体工作涉及艾滋病知识的宣传、领导层的开发、业务人员的培训、艾滋病人的监测和评价体系的建立、艾滋病的行为干预及效果评价、艾滋病防治药品的采购与发放、艾滋病病人的治疗和管理、艾滋病防治的科学研究以及艾滋病病人及家庭的救助等社会性工作。工作量大且相互交叉，而全省从事艾滋病防治的人员有限,加上艾滋病防治工作又有许多新问题,工作人员难以在短期内适应,在此背景下,仅仅依靠疾控中心的力量是难以有效完成艾滋病防治任务的,因此有必要对我省艾滋病防治体系进行思考和研究。基于上述背景,本研究的主要目的是通过对国际上艾滋病防治经验和成功体系的总结与借鉴,在对山东省艾滋病防治形势以及现有艾滋病防治相关部门资源的分析和评估的基础上,结合艾滋病防治工作特点和性质,依靠现有卫生服务体系,通过调整和整合,构建出一套供各级政府、政策制定者和政策执行者参考借鉴,各相关部门和单位接受统一领导,统一目标,责任明确,沟通畅通,分工合作,相互配合的艾滋病防治体系;探讨艾滋病防治体系的科学性和可行性,为领导决策提供参考依据。本项目采用了情景分析法、文献复习法、现场调查法、关键任务访谈法和专家咨询法等多种研究方法。结论:山东省艾滋病防治体系包括艾滋病防治的组织体系体系;艾滋病的监测、检查、预测体系;艾滋病的宣传、干预体系;艾滋病的医疗救助体系与艾滋病病人的救助和帮扶体系;艾滋病防治药品的采购和发放体系;艾滋病病人的管理体系共六个部分。
[Abstract]:Since the first HIV infection was found among the returned labor workers in Shandong Province in 1992, as of June 30, 2005, 653 cases of HIV infection, 183 cases of AIDS patients and 98 cases of death have been reported. At present, the number of people infected with HIV and the number of people suffering from AIDS in Shandong Province show a rapid growth trend. The infected people are mainly young and middle-aged and farmers, and the main routes of transmission are blood transmission. However, all three ways of AIDS transmission have emerged. Augur that the spread of AIDS in Shandong Province is likely to accelerate further. In the face of such a situation, the Shandong Provincial Committee and the provincial government attach great importance to the work of AIDS prevention and control, set up a leading group for AIDS prevention and control, established the coordination meeting system of the provincial government on AIDS and sexually transmitted diseases, and clarified the work responsibilities of each member unit. Set up AIDS prevention and control special funds, at the same time Shandong Centers for Disease Prevention and Control for a number of international cooperation projects. At present, the prevention and control of AIDS in our province has achieved initial results. Relevant departments have set up corresponding agencies or organizations to carry out AIDS propaganda and intervention activities, education, civil affairs, Communist Youth League, public security and other departments actively cooperate. For the province's AIDS prevention and control work has played a positive role. A demonstration area of AIDS prevention and control was established in the province. On the basis of the demonstration area, the experiences were summarized and the problems were found, which provided a reference for the overall promotion of AIDS prevention and control in the whole province. However, compared with other diseases, AIDS prevention and control work has the characteristics of sociality, comprehensiveness, complexity, coordination, confidentiality and non-manifestation of achievements. Its specific work involves the promotion of AIDS knowledge and the development of leadership. Training of business personnel, establishment of monitoring and evaluation system for AIDS patients, conduct intervention and effectiveness evaluation of AIDS, procurement and distribution of AIDS drugs, treatment and management of AIDS patients, AIDS prevention and treatment of scientific research and AIDS patients and family assistance and other social work. The workload is large and intersecting, and the limited number of personnel engaged in AIDS prevention and treatment throughout the province, coupled with many new problems in the prevention and treatment of AIDS, make it difficult for staff to adapt in the short term. In this context, It is difficult to effectively accomplish the task of AIDS prevention and control by relying on the strength of CDC, so it is necessary to think and study AIDS prevention and control system in our province. Based on the above background, the main purpose of this study is to sum up and learn from the international experiences and successful systems of AIDS prevention and control. On the basis of the analysis and evaluation of the situation of AIDS prevention and treatment in Shandong Province and the resources of the existing AIDS prevention and control departments, combining the characteristics and nature of AIDS prevention and control work, relying on the existing health service system, through adjustment and integration, Construct a set of AIDS prevention and control system for all levels of government, policy makers and policy implementers for reference, all relevant departments and units accept unified leadership, unified goals, clear responsibilities, smooth communication, division of work and cooperation, and cooperate with each other. To explore the scientific and feasibility of AIDS prevention and control system, to provide a reference for leadership decision-making. Situation analysis, literature review, field investigation, key task interview and expert consultation are used in this project. Conclusion: the AIDS prevention and treatment system of Shandong Province includes the organization system of AIDS prevention and treatment, the surveillance, examination and prediction system of AIDS, the propaganda and intervention system of AIDS; The medical aid system of AIDS and the aid and support system of AIDS patients; the procurement and distribution system of AIDS prevention and treatment drugs; and the management system of AIDS patients have six parts.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R183

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