摘要
目的分析艾滋病防治工作现状,结合新医改主要内容,探讨深化医药卫生体制改革对艾滋病防治体系的影响。方法对6个省份45名从事艾滋病防治工作5年以上的领导或专家进行调查。结果艾滋病防治工作面临防治模式可持续性不强、疾控机构负责药品管理存在法律风险、未能充分发挥基层医疗卫生机构的作用等主要问题。结论提出艾滋病防治工作与新医改相结合的主要思路:明确各类医疗卫生服务机构的防艾职责和工作内容,将艾滋病抗病毒治疗职能调整至医疗机构,把艾滋病防治纳入基层医疗卫生机构的工作范畴,完善艾滋病医保政策,调整抗病毒治疗药品管理体系。
Objective Through the comprehensive analysis of current situation of HIV / AIDS control and prevention in China and the main content of medical and health system reform,we try to explore the influence of deepening medical and health system reform on AIDS prevention and control system. Methods 45 experts form 6different provinces engaged in AIDS prevention and control working for more than five years were investigated.Results The current model of prevention and control of AIDS were not sustainable. The drug management responsibility of disease control agency had legal risks and they failed to play a main role of primary medical and health institutions. Conclusion We provide advice for the combination of HIV / AIDS control and prevention with medical and health system reform,including: Clear the responsibilities and work content of all kinds of medical and health service institutions anti AIDS; adjust AIDS antiviral treatment function to the medical institutions; integrate the AIDS prevention into routine work category of basic medical and health institutions. perfect for medical insurance policy of AIDS infected persons and patients; and constantly adjust antiviral treatment drug procurement and management system.
出处
《预防医学情报杂志》
CAS
2016年第9期887-890,共4页
Journal of Preventive Medicine Information
基金
国家自然科学基金(71373008)
关键词
艾滋病
防治体系
医药卫生体制改革
HIV / AIDS
control and prevention
medical and health system reform