我国HIV感染者卫生服务需要和利用系统评价  

Systematic Evaluation of Health Service Needs and Utilization among People Living with HIV in China

作　　者：王若兰 李爱玲 张雯欣 任宁君 范颂 WANG Ruo-lan;LI Ai-ling;ZHANG Wen-xin;REN Ning-jun;FAN Song(Southwest Medical University,Luzhou,Sichuan,646000,China)

机构地区：[1]西南医科大学公共卫生学院,四川泸州646000

出　　处：《中国初级卫生保健》2022年第10期77-81,共5页Chinese Primary Health Care

基　　金：四川性社会学与性教育研究中心课题(SXJYB2004)。

摘　　要：目的:系统评价我国HIV感染者卫生服务需要和利用现状,为艾滋病防治提供参考依据。方法:系统检索和获取我国HIV感染者卫生服务需要和利用相关研究文献,对卫生服务需要和利用相关指标进行系统评价和Meta分析。结果:研究共纳入文献14篇,我国HIV感染者两周患病率为46.70%,95%CI为(34.99%,58.41%);慢性病患病率为39.27%,95%CI为(22.02%,56.52%);两周就诊率为72.16%,95%CI为(53.64%,90.68%);住院率为19.22%,95%CI为(12.56%,25.89%);未住院率为36.22%,95%CI为(12.01%,60.43%)。结论:我国HIV感染者卫生服务需要量较大,但利用不足。需重点关注50岁以上老年感染者、女性感染者和农村感染者医疗卫生服务需要和利用情况,有针对性地加强HIV感染者卫生服务资源配置情况,改善供需矛盾,并完善贫困落后地区的医疗卫生服务体系。OBJECTIVE To systematically evaluate the current status of health service needs and utilization among people living with HIV in China and provide a basis for HIV prevention and treatment.METHODS It systematically searched the research literature related to health service needs and utilization of HIV-infected patients in China,and conducted a systematic evaluation and Meta-analysis of health service needs and utilization-related indicators.RESULTS A total of 14 papers were included in the study,and the results showed that the two-week prevalence of HIV infected people in China was 46.70%(95%CI:34.99%to 58.41%),the prevalence of chronic NCDs(non-communicable diseases)was 39.27%(95%CI:22.02%to 56.52%),the two-week visit rate was 72.16%(95%CI:53.64%to 90.68%),the hospitalization rate was 19.22%(95%CI:12.56%to 25.89%),and the non-hospitalization rate was36.22%(95%CI:12.01%to 60.43%).CONCLUSION The need for health services for people living with HIV in China is high,but health services are underutilized.There is an urgent need to focus on the health service needs and utilization of older infected persons over 50 years old,female infected persons and rural infected persons.The resource allocation of health services for HIV-infected patients should be precisely strengthened to reduce the contradiction between the supply and demand of health services,and to improve the medical and health service system in poor and backward areas.

关 键 词：HIV感染者 艾滋病 卫生服务需要 卫生服务利用 META分析 

分 类 号：R512.91[医药卫生—内科学]