中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2014年
10期
68-72
,共5页
徐鹏%张大鹏%马福昌%马丽萍%琚腊红%陈婉莹%韩琳%吕繁
徐鵬%張大鵬%馬福昌%馬麗萍%琚臘紅%陳婉瑩%韓琳%呂繁
서붕%장대붕%마복창%마려평%거석홍%진완형%한림%려번
艾滋病%医疗卫生系统%问题%原因%策略
艾滋病%醫療衛生繫統%問題%原因%策略
애자병%의료위생계통%문제%원인%책략
AIDS%Health care system%Issues%Causes%Strategies
目的：归纳卫生系统内各类医疗卫生机构开展艾滋病防治工作的主要问题，分析原因，提出解决策略。方法：对30个省份的184个省市县三级医疗卫生机构中从事艾滋病防治工作五年以上的领导或专家进行问卷调查，调查内容为艾滋病防治各领域及工作中存在的问题、原因及解决思路。结果：根据调查对象的打分和专家论证，确定了主要问题，包括：疾控机构人力存在不足、相关机构参与程度不够、艾滋病病人手术难、检测力度不够、艾滋病病人随访困难、医疗保障有缺陷等。结论：在分析问题及其原因的基础上，提出解决策略：清晰界定各类医疗卫生机构的防艾工作职责、促进基层医疗卫生机构开展艾滋病防治工作、健全艾滋病病人医疗服务体系、完善艾滋病医疗保障政策、改革抗病毒治疗药品的管理体制、加强疾病预防控制中心的技术支撑作用等。
目的：歸納衛生繫統內各類醫療衛生機構開展艾滋病防治工作的主要問題，分析原因，提齣解決策略。方法：對30箇省份的184箇省市縣三級醫療衛生機構中從事艾滋病防治工作五年以上的領導或專傢進行問捲調查，調查內容為艾滋病防治各領域及工作中存在的問題、原因及解決思路。結果：根據調查對象的打分和專傢論證，確定瞭主要問題，包括：疾控機構人力存在不足、相關機構參與程度不夠、艾滋病病人手術難、檢測力度不夠、艾滋病病人隨訪睏難、醫療保障有缺陷等。結論：在分析問題及其原因的基礎上，提齣解決策略：清晰界定各類醫療衛生機構的防艾工作職責、促進基層醫療衛生機構開展艾滋病防治工作、健全艾滋病病人醫療服務體繫、完善艾滋病醫療保障政策、改革抗病毒治療藥品的管理體製、加彊疾病預防控製中心的技術支撐作用等。
목적：귀납위생계통내각류의료위생궤구개전애자병방치공작적주요문제，분석원인，제출해결책략。방법：대30개성빈적184개성시현삼급의료위생궤구중종사애자병방치공작오년이상적령도혹전가진행문권조사，조사내용위애자병방치각영역급공작중존재적문제、원인급해결사로。결과：근거조사대상적타분화전가론증，학정료주요문제，포괄：질공궤구인력존재불족、상관궤구삼여정도불구、애자병병인수술난、검측력도불구、애자병병인수방곤난、의료보장유결함등。결론：재분석문제급기원인적기출상，제출해결책략：청석계정각류의료위생궤구적방애공작직책、촉진기층의료위생궤구개전애자병방치공작、건전애자병병인의료복무체계、완선애자병의료보장정책、개혁항병독치료약품적관리체제、가강질병예방공제중심적기술지탱작용등。
Objective:To summarize the main issues, analyze the causes and offer a strategy for AIDS preven-tion and control for all types of healthcare facilities in the health care system. Methods:184 leaders and experts of tertiary-level healthcare facilities ( provinces, cities and counties) from 30 provinces who had been engaged in AIDS prevention and control for more than five years were studied through a questionnaire including the issues and causes in AIDS prevention and control. Results: According to the results of the respondents and experts’ demonstration, the main issues were identified, including a lack of human resources in the system of disease control facilities, a lack of relevant agencies involved in AIDS response, the difficulty for AIDS patients to receive surgery and follow-up, poor detection of HIV, shortcomings in medical insurance, and so on. Conclusion: Based on the analysis of issues and causes, the paper offers strategic solutions: Clearly define the responsibilities of various health institutions in AIDS prevention and control;promote the participation of primary health institutions in AIDS prevention and control; im-prove the medical service system for AIDS patients;improve AIDS medical security policies;reform the management system of antiretroviral therapy drugs;and strengthen technical support from disease control facilities.
