我国医疗机构医务人员提供艾滋病检测服务现况调研  

A survey about the situation of HIV testing services provided by medical staffs in medical institutions in China

作　　者：王海雪 徐杰[1] 臧春鹏[1] 谭广杰[2] 杨志敏[3] 马彦民[4] 黄涛[5] WANG Haixue;XU Jie;ZANG Chunpeng;TAN Guangjie;YANG Zhimin;MA Yanmin;HUANG Tao(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Nanning 530028;Yunnan Provincial Center for Disease Control and Prevention,Kunming 650022;Henan Provincial Center for Disease Control and Prevention,Zhengzhou 450016;Institute of HIV/AIDS Prevention and Control,Shandong Center for Disease Control and Prevention,Jinan 250014)

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]广西壮族自治区疾病预防控制中心,南宁530028 [3]云南省疾病预防控制中心,昆明650022 [4]河南省疾病预防控制中心,郑州450016 [5]山东省疾病预防控制中心艾滋病防制所,济南250014

出　　处：《中国艾滋病性病》2022年第10期1191-1195,共5页Chinese Journal of Aids & STD

摘　　要：目的 了解近年来我国医疗机构医务人员提供艾滋病检测咨询(PITC)服务现况,收集存在的问题和建议。方法 采用目的抽样的方法,对我国6个省/直辖市PITC开展情况进行调研。采用专题小组访谈或个人访谈的方式进行资料收集,调研对象为疾病预防控制机构(简称疾控机构)和医疗机构中负责/参与PITC工作的人员。采用主题分析法对访谈资料进行整理、编码、主题归类和分析。结果 共调研6个省/直辖市中疾控机构19家,医疗机构16家;召开疾控机构专题小组访谈19次,医疗机构专题小组访谈15次,个人访谈3次;疾控机构共访谈74名工作人员,医疗机构共访谈60名工作人员。调研地区均高度重视PITC工作,逐步出台并完善相关政策,不断推进PITC工作的开展。但由于国家层面缺乏PITC政策支持,各地PITC工作进展不一;且普遍存在PITC培训不足,医务人员开展PITC工作能力不足;宣传力度不够,就诊者检测意识薄弱等问题。结论 PITC在扩大检测方面占主体地位,应尽快出台政策文件,规范PITC工作的开展,充分发挥医疗机构扩大检测的作用。Objective To understand the current situation of HIV testing counseling service provided by medical staff(PITC) in medical institutions in China in recent years, and to collect the existing problems and suggestions.Methods Purposive sampling method was used to investigate the carrying out situation of PITC in 6 provinces/municipalities directly under the central government in China. Data were collected by focus group interviews or personal interviews. The survey subjects were those responsible for/participating in PITC work in disease prevention and control institutions and medical institutions. Thematic analysis was used to collate, code, categorize and analyze interview data.Results A total of 19 disease prevention and control institutions and 16 medical institutions were investigated in 6provinces/municipalities directly under the central government. 19 focus group interviews with disease control institutions,15 focus group interviews with medical institutions, and 3 personal interviews were held. A total of 74 staffs were interviewed in disease control institutions and 60 staffs were interviewed in medical institutions. Investigated regions attached great importance to PITC work. Relevant policies were gradually issued and improved. Therefore, the development of PITC work was continuously promoted. However, due to the lack of PITC policy support at the national level, the progress of PITC work varied from place to place. There are widespread problems such as insufficient PITC training, insufficient ability of medical staff to carry out PITC work, insufficient publicity, and weak awareness of HIV testing. Conclusions PITC plays an important role in expanding testing. Policies should be in place in a timely manner to standardize the development of PITC and provide strong support to expand HIV testing in medical institutions.

关 键 词：艾滋病病毒 医疗机构 检测 

分 类 号：R512.91[医药卫生—内科学]