艾滋病病毒感染者和艾滋病病人管理模式展望  

Prospect of management pattern of HIV/AIDS Patients

作　　者：付思云 陈庆玲 李惠琴 

机构地区：[1]云南省传染病专科医院云南省艾滋病关爱中心,云南昆明650500

出　　处：《中国热带医学》2015年第3期380-383,共4页China Tropical Medicine

摘　　要：随着高效抗逆转录病毒疗法(HAART)的普遍使用,艾滋病病毒感染者和艾滋病病人(HIV/AIDS病人)生存时间显著延长。如何有效管理艾滋病传染源,提高HIV/AIDS病人生存质量已经成为首要解决的问题。目前国内HIV/AIDS病人管理主要有属地化随访管理、人性化管理、健康管理、积极自我管理、治疗管理等模式。艾滋病个案管理是一种以HIV/AIDS病人为中心,通过沟通交流,合理选择可用资源,以满足患者全面的健康需求,改善医疗服务质量,提高成本效益的系统健康管理模式。该管理模式已经在美国等国家及我国的香港、台湾地区普遍使用,能够有效管理HIV/AIDS病人,提高社会资源利用率,改善生存质量,降低社会医疗服务成本。本文综述了目前国内外HIV/AIDS病人管理模式,简要介绍艾滋病个案管理模式,以期对国内的艾滋病健康服务和管理进行补充。The survival time of HIV/AIDS patients has been significantly prolonged along with the widely use of highlyactive anti retroviral therapy（HAART）. How to manage the AIDS epidemic source effectively, and to improve the survivalquality of HIV/AIDS patient is the impressing question currently to be addressed. At present, the management patterns of HIV/AIDS patients are as follows： follow-up management of localization, Humanity management, health management, positive selfmanagement, and so on. HIV case management is a health management pattern that the HIV/AIDS patients as the center, areasonable choice of available resources through the communication to meet the health comprehensive needs of patients andimprove the quality of medical service and the cost-effectiveness. This management pattern has been widely used in American,Hongkong, and Taiwan as it allows effective management of the HIV/AIDS patients, improvement of the utilization of socialresources and the quality of life, reducing the cost of social medical service. This paper reviews the current managementpatterns of HIV/AIDS patients at home and abroad and introduces AIDS case management pattern briefly, in order tosupplement AIDS health services and management in China.

关 键 词：艾滋病病毒感染者和艾滋病病人 管理模式 个案管理 健康服务 

分 类 号：R512.91[医药卫生—内科学]