医疗机构医务人员提供艾滋病检测咨询试点工作经验初探  

On experience of the provider-initiated HIV testing and counseling pilot

作　　者：熊燃[1] 毛宇嵘[1] 李志军 陈远[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]美国疾病控制与预防中心全球艾滋病项目中国办事处,北京100060

出　　处：《中国艾滋病性病》2010年第3期262-264,共3页Chinese Journal of Aids & STD

基　　金：中美艾滋病防治合作项目~~

摘　　要：目的通过医疗机构医务人员提供检测咨询(PITC)试点工作,了解PITC工作在中国的可行性,探讨PITC工作中存在的问题及解决办法,为制定PITC相关政策提供依据。方法选择广东省番禺市、山东省济南市、辽宁省沈阳市作为PITC试点城市,共选择3个城市中的5家医疗机构为试点,收集试点工作报表、季度工作总结、督导报告和访谈结果等资料进行分析。结果医务人员推荐艾滋病病毒(HIV)检测率,由高到低依次为:婚检门诊(99.5%)、妇科门诊(14.5%)、肺结核科门诊(12.9%)、产科门诊(11.4%)和皮肤性病门诊(5.2%);就诊者接受HIV检测率由高到低依次为:婚检门诊(99.5%)、肺结核科门诊(85.9%)、性病门诊(65.3%)、产科门诊(44.0%)及妇科门诊(17.4%);HIV阳性检出率在前三位的科室为:皮肤性病科(0.4%)、肺结核科(0.2%)和婚检室(0.1%)。一部分人不愿意接受HIV检测,主要是检测费用过高。结论开展PITC工作具有可行性,政策支持、医务人员的认识、宣传、检测费用等因素,对PITC工作的开展起重要作用。Objective To evaluate the feasibility of the provider-initiated HIV testing and counseling （PITC） pilot in China and to find out problems and solutions in implementing PITC,so as to provide evidence for making PITC strategies and policies. Methods One maternal and children health center,one STD/TB prevention and treatment institute and two general hospitals from Panyu in Guangdong,Jinan in Shandong and Shenyang in Liaoning were selected as pilot units. Field monitoring notes,operation records and quarterly working reports were collected and analyzed. Data were collected between June 2008 and June 2009. Results Rates of HIV tests recommended by providers were：99.5% during pre-marital check-ups,14.5% by gynecology clinic,12.9% by TB clinic,11.4% by obstetrical clinic,and 5.2% by dermatology/STD clinic. Rates of HIV tests accepted by the receivers were：99.5% during per-martial check-ups,85.9%,at tuberculosis clinic 65.3% at STD clinic,44.0% at obstetrical clinic,and 17.4% at gynecology clinic. The highest HIV positive rates were recorded in the following three clinics：dermatology clinic （0.4%）,TB clinic （0.2%） and pre-martial check-ups clinic （0.1%）. A part of receivers were reluctant to accept HIV test mainly due to its high cost. Conclusions It is feasible to implement PITC in China,while policy support,awareness of clinical staff,public education,and testing fee are key factors that influence the implementation of PITC.

关 键 词：医疗机构医务人员提供检测咨询 试点 经验 

分 类 号：R512.91[医药卫生—内科学]