北京市石景山区艾滋病防治综合管理模式探讨

A discussion on comprehensive AIDS prevention and treatment patterns in Shijingshan district,Beijing

目的了解北京市石景山区艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人疫情现状和各项管理工作现状,分析石景山区艾滋病综合防治工作中存在的问题和可能遇到的障碍,探索全区艾滋病综合防治工作行之有效的管理模式。方法对石景山区部分卫生行政部门、疾控中心(CDC)、医疗机构、社区卫生服务中心、社会组织、志愿者及HIV感染者/AIDS病人(HIV/AIDS病人))等6个人群进行访谈及问卷调查。结果截止到2014年底石景山区累计有随访状态的HIV/AIDS病人328人,共调查HIV/AIDS病人260名,其平均年龄为(32.04±9.54)岁,以青壮年为主,性别以男性为主,户籍地以本市户籍为主,传播途径以男男性行为(men who have sex with men,MSM)为主。HIV/AIDS病人对于疾控机构的满意度较高,对医疗机构的服务满意度不高;社区卫生服务中心、非政府组织参与度有些欠缺;在综合防治工作中,各机构工作衔接不够顺畅,社会各行业参与程度不够。结论石景山区艾滋病综合防治工作中医疗机构提供的服务质量不高,各行业各部门合作不足,工作人员积极性不高;应建立政府主导、部门协作、社会参与的长效防控机制;采取一站式服务,建立"四位一体"现代综合预防体系。

Objective To view the current situation of HIV/AIDS epidemic and the management patterns, to investigate into the potential obstacles in the control and prevention of AIDS in Shijingshan district, and to explore the effective management patterns in the comprehensive control and prevention. Methods Interviews and surveys were done in the primary administrative department of health, the local center for disease control and prevention, medical institutions and community heahh service centers, social organization, volunteers, and HIV/AIDS patients. Results The total number of HIV/AIDS patients in Shijingshan district was 328 at the end of 2014. 260 HIV/AIDS patients were interviewed. The average age was（32. 04 ± 9. 54） years-old. Most of the subjects HIV/AIDS patients were young adults, male and non-local residents. The main route of transmission was MSM. The satisfaction with medical services was low among HIV/ADIS patients. There was a lack of cooperation among participating institutions and organizations in the comprehensive prevention. In Shijingshan district, the prevention and control work for HIV/ADIS was less well-organized, and there was a need for further support from social networks. Conclusion The quality of service provided by medical institutions need improving in the comprehensive control and prevention of AIDS in Shijingshan district. Cooperation need to be organized between departments. The staffs need to be further activated by establishing a government-led, department coordination, social participation in the prevention and control mechanism. A one-stop service and ＂four in one＂ modern comprehensive prevention and treatment system should be established.