性传播疾病“防-治-管”一体化整合模式——以深圳市为例

“Prevention-treatment-management”Integration Model for Sexually Transmitted Diseases:Take Shenzhen as An Example

在当前性病防治工作中,公共卫生和临床医学各自为政,临床医师承担疾病治疗任务,不管预防;公共卫生医师临床知识和经验不足,难以适应诊疗工作,虽然致力于寻找疾病的流行病学特点,但由于缺乏相关临床知识,常常难以研究到临床最希望解决的问题。临床医学、预防医学、公共卫生的分离严重阻碍了性病预防和控制。深圳市慢性病防治中心通过对以往性病防治策略及其实施结果进行总结,提出"防-治-管"的一体化医学整合模式,引入疾病管理这项有效防治策略,改变了既往性病防治中的阶段式服务模式。效果评估显示该模式对性病防治效果显著。

In the current prevention and treatment of sexually transmitted diseases （STDs）, the effect of public health and clinical medicine were fragmented. On the one hand, clinicians undertake the task of treating disease, but ignore disease prevention. On the other hand, it is difficult for public health providers who are lack of clinical knowledge and experience to be competent diagnosis and treatment. Although they devote themselves to find the epidemiological characteristics of the disease, they often do not solve clinical problems because of the lack of clinical knowledge. The separation of clinical medicine, prevention medicine, and public health has seriously hindered the prevention and control of STDs. Shenzhen Center for Chronic Disease Control put forward a medical model of ＂prevention-treatment-management＂ based on medical integration by summarizing the past STDs prevention strategy and its implementation results. At the same time, replacing the old phase-service model, it introduced disease management with effective control strategies for STDs prevention. The effectiveness of this model was significant for the prevention and control of STDs.