部分城市利用门诊特定病种政策进行ART的HIV/AIDS患者情况分析  

The situation of HIV/AIDS patients using outpatient policy for special diseases for ART in some cities

作　　者：胡静坤 张广[1] 徐鹏[1] 康文婷 郭佳欢 徐杰[1] 周宇辉 吕繁[1] HU Jingkun;ZHANG Guang;XU Peng;KANG Wenting;GUO Jiahuan;XU Jie;ZHOU Yuhui;LYU Fan(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Chinese Association of STD&AIDS Prevention and Control,Beijing 100050;Chinese Center for Disease Control and Prevention,Beijing 102200)

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]中国性病艾滋病防治协会,北京100050 [3]中国疾病预防控制中心,北京102206

出　　处：《中国艾滋病性病》2023年第5期534-538,共5页Chinese Journal of Aids & STD

摘　　要：目的 了解部分城市利用门诊特定病种政策(简称“门特”)进行艾滋病ART的HIV/AIDS患者的社会人口学特征、ART情况等,为我国今后完善艾滋病ART保障机制提供相关信息与建议。方法 采用横断面研究的方法选择6省中9个城市里利用门特进行艾滋病ART的HIV/AIDS患者331例,包括启动ART后一直是门特治疗、中途转换成门特治疗的两类人群,进行问卷调查。结果 共计调查9个城市中利用门特进行ART的HIV/AIDS患者331例,HIV/AIDS患者性别以男性为主(280例,84.6%),平均年龄(43.4±14.7)岁,文化程度多为大学及以上(160例,48.3%),目前多为城镇职工基本医疗保险(211例,63.7%)。启动ART后一直是门特治疗的有107例(32.3%);中途转换成门特治疗的有224例(67.7%),患者自报转换为门特治疗的原因为门特ART药品不良反应小(38.2%)、服药更方便(26.1%)、治疗效果更好(22.6%)。在门特ART药品中,比克恩丙诺片的使用占比为65.9%。启动ART后一直是门特治疗与中途转换成门特治疗的两类人群在本人年收入、有无赡养的老人、ART地点上的构成比差异有统计学意义。大部分调查对象的治疗不良反应门诊费用、每年1次免费检测之外的CD4细胞计数检测费用和病毒载量检测费用为自己支付。结论 利用门特进行艾滋病ART的HIV/AIDS患者多为中年、男性、文化程度高、参加城镇职工基本医疗保险。门特在一定程度上缓解了HIV/AIDS患者的经济负担,但仍有需要完善的部分。Objective eTo investigate the social demographic characteristics and antiviral therapy(ART)situation of HIV/AIDS patients using outpatient policy for special diseases in some cities,so as to provide relevant information and suggestions to improve the ART guarantee mechanism in the future.Methods A cross-sectional study was conducted to select 331 HIV/AIDS receiving ART patients using outpatient policy for special diseases in 9 cities of 6 provinces.After ART initiation,the respondents were divided into someone who consistently using outpatient policy for special diseases and someone who switching to.Results A total of 331 HIV/AIDS patients with ART using outpatient policy for special diseases in 9 cities were investigated.Most of them were men(280,84.6%),with an average age of 43.4±14.7 years old.The majority had college education or higher(160,48.3%).They mostly were covered by basic medical insurance for urban employees(211,63.7%).After ART initiation,107 patients(32.3%)persistently used outpatient policy for special diseases,while 224 patients(67.7%)switched to.The main self-reported reasons for switching were fewer adverse drug reactions(38.2%),more convenient medication(26.1%),and better therapeutic effect(22.6%).Among ART drugs,Bicentenol tablets accounted for 65.9%.After ART initiation,there was a statistically significant difference in the composition ratio between those who persistently used outpatient policy for special diseases and those who switched to,in terms of annual income,living with or elders or not,and ART location.Most of the respondents paid for outpatient fee on their own,such as treatment of adverse reactions,additional CD4 cell count tests and viral load tests.Conclusions The HIV/AIDS ART patients using outpatient policy for special diseases are mostly male,middle-aged,highly educated,and participated in the basic medical insurance for urban employees.Outpatient policy for special diseases has alleviated the financial burden of HIV/AIDS patients to some extent,however,there are something

关 键 词：艾滋病 门诊特定病种 抗病毒治疗 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]