四川、云南部分地区药店性病服务质量调查  

Survey on STI service quality of pharmacy at pilot sites in Sichuan and Yunnan

作　　者：陈虹[1] 程峰[1] 杨凭[2] 胡虹[3] 张灵麟[4] William Stewart 沈洁[1] 

机构地区：[1]中国疾病预防控制中心中英性病艾滋病防治合作项目办公室,北京100050 [2]中国疾病预防控制中心性病技术指导中心 [3]四川省疾病预防控制中心 [4]云南省疾病预防控制中心 [5]英国国际发展部中英性病艾滋病防治合作项目办公室

出　　处：《中国公共卫生》2004年第1期71-72,共2页Chinese Journal of Public Health

基　　金：中英性健康需求评估项目

摘　　要：目的　对四川、云南部分地区的药店性病服务质量进行调查评估 ,为改善性病服务质量和开展有针对性的干预提出建议。方法　在四川、云南 4个试点地区随机选择药店 ,采用假扮病人办法了解药店工作人员处理性病病征的过程。结果　按照WHO/GPA评估指标 ,规范处理病人的比例 (PI -6)为 2 2 %。建议使用安全套和性伴通知的比例 (PI -7)为 8 7% ,总体服务 (PI -6+PI-7)为 0 ,表明药店工作人员提供性病服务的质量较低 ,建议病人到医院检查治疗较少 ,为 3 0 4%。结论　应加强对药店提供性病服务的管理 ,对药店工作人员进行性病艾滋病防治知识培训 ,提高向病人正确解释治疗药物、提供健康教育、咨询、安全套促进等预防服务的能力及药店的性病服务质量 ,指导病人及时到正规医院检查治疗 。ObjectiveSurvey and assessment were conducted on the STD service quality of pharmacies at the pilot sites in Sichuan and Yunnan,so as to inform and advise on improvement of STD services and targeted interventions.MethodsInvestigators pose as STD patients to visit the p harmacies randomly selected in 4 pilot sites of Sichuan and Yunnan in order to k now pharmacy staff's diagnosis and treatment of STD symptoms.ResultsAccording to the assessment indicators of WHO/GPA ,proportion of patients receiving standard diagnosis and treatment(PI-6) is 2.2% ;proportion of patietns receiving recommendation for condom use and partner noti fication (PI-7) is 8.7%;while the overall quality of services(PI-6+PI-7) is grad ed at 0,which indicats the low quality of STI services provided by the pharmacy staff.Only a minority of pharmacy staff would recomend patients to go to hospita ls for examination(30.4%).ConclusionSpecial emphasis should be placed on strengthe ning the management over STI services provided by pharmacies.Pharmacy staff shou ld not only be able to recommend appropriate medications,but also be able to pro vide STD/AIDS prevention and referral services and guide patients to attend hosp itals for examination and treatment in a timely fashion.Training on knowledge of STD/AIDS prevention and control should be also promoted among pharmacy staff so as to improve their ability to correctly explain treatment medications and stre ngthen their ability in providing prevention services (such as health education, counselling and condom promotion).Therefore,the quality of STI services provided by pharmacies can be improved constantly,and the health resources available for STD/AIDS prevention and control can be expanded.

关 键 词：药店 性病 服务质量 

分 类 号：R192[医药卫生—卫生事业管理]