性病门诊推行宽松就医环境及其效果评估研究  

THE STUDY AND EVALUATION ON CREATING FAVORABLE MEDICAL ENVIRONMENT IN THE STATE-OWNED STD OUTPATIENT DEPARTMENT.

作　　者：欧智勇[1] 刘琪[1] 吴学庆[1] 杨兰[1] 张亚兰[1] 

机构地区：[1]成都市卫生防疫站,610021

出　　处：《现代预防医学》2002年第2期232-234,共3页Modern Preventive Medicine

摘　　要：目的 :本研究旨在吸引性病患者到公立医院求医 ,使其得到正规、合理的治疗并获得预防性病、艾滋病的核心信息和求医知识。方法 :选择成都市 3家公立医院性病门诊作为干预组 ,采用培训医生、医院承诺“匿名治疗、合理收费”、实行单独就诊、发放健康教育处方、医生演示安全套等方法开展为性病患者创造宽松就医环境的干预 ,另选 2家相同规模的公立医院作为对照组。结果 :要使干预工作成为医院自身建设的内在要求 ,保持持续性发展 ,必须找到一个为医院领导和医生所认同的切入干预的具体措施。应考虑其针对性和可操作性 ,以创造宽松就医环境为主要内容的干预活动能够显著提高医院的性病门诊量、性病复诊率和性伴就诊率 ,也能显著改善患者就医环境和就医体检。但要改变性病患者的求医行为 ,还应该针对广告。Objective:To attract STD patients to seek medical service and be treated in standard and rational way,and obtain core information.Methods:Three and two STD outpatient departments were selected respectively as intervention group and control group.The former group was intervented by training the physicans,promising'anonymous treatment,rational fee',practicing consultation without other patients,handing out health education prescription and demonstrating the usage of condom.Results:Achieving the agreement of the hosptial directors and physicians was necessary to make the intervention become the hospitals own need and keep the program sustainable.The specilization and maneuverability must be considered.The amount of STD outpatients,the rate of patients further consultation with the doctors and the rate of patients' sex partners increased significantly because of takine the effective measures. The medical environment and the experience of seeking medical serivce had been improved. However,the behaviors of seek-medical sevice had not been changed only by creating the hospital's favorable environment.Hence,The other influencing factors such as ads and accessiblity of medical service should be further considered.

关 键 词：性病门诊 宽松就诊环境 效果评估 

分 类 号：R759[医药卫生—皮肤病学与性病学]