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目的:了解艾滋病流行区临床医生对艾滋病相关知识及主动提供艾滋病检测咨询服务(PITC)的知晓情况,为推进该区开展PITC工作进程提供参考。方法:随机抽取某市综合医院医生共180名,采用自行设计问卷进行调查。结果:有效应答率91.1%(164/180)。临床医生对艾滋病一般知识和防控策略知晓率多在85%以上,但了解我国艾滋病流行形势者不及52.0%,有15.9%的医生未认知发现感染者对控制艾滋病疫情的重要性。对于发现HIV感染者的方法,164名医生中,有153人(93.3%)知晓常规术前检测,但知晓VCT和PITC者分别仅42人和5人。医生们普遍意识到医疗机构是发现HIV感染者/艾滋病病人的重要窗口,157人(95.7%)认为PITC服务非常有必要。对于该地推行PITC服务目前可能面临的困难,医生们认为主要是相关知识与技能不足、检测费用加重患者就医负担、患者对感染风险认知不足和对艾滋病感染的歧视、医生缺少时间等。结论:该地临床医生对艾滋病知识的了解不够深入,PITC知识与技能缺乏,与艾滋病防治需求不相适应。PITC服务是流行区发现感染者必不可少的重要手段,该地应积极创造条件包括加强医务人员艾滋病诊疗和PITC知识与操作技能的培训、加大大众宣传教育力度以及争取相关配套政策的支持等以推进PITC服务。
OBJECTIVE: To understand the knowledge of AIDS related AIDS clinicians and HIV / AIDS counseling services (PITC) in clinics in AIDS endemic areas so as to provide references for promoting PITC work in this area. Methods: A total of 180 general hospitals in a city were randomly selected and investigated by self-designed questionnaire. Results: The effective response rate was 91.1% (164/180). More than 85% of clinicians knew more about HIV / AIDS general knowledge and prevention and control strategies, but less than 52.0% knew about AIDS prevalence in our country. 15.9% of doctors did not recognize the importance of HIV infection control. Of the 164 physicians who identified HIV-infected individuals, 153 (93.3%) were aware of routine preoperative testing, but only 42 and 5 were aware of VCT and PITC, respectively. Doctors generally recognize that medical institutions are an important window for finding people living with HIV / AIDS and 157 (95.7%) consider PITC services very necessary. The current difficulties that doctors may face when implementing PITC services in this area are mainly doctors’ knowledge, lack of knowledge, lack of testing time, medical burden on patients, lack of awareness of infection risk and discrimination against HIV infection, and lack of time for doctors. Conclusion: Clinicians do not know enough about AIDS knowledge, lack of knowledge and skills of PITC, and do not meet the need of AIDS prevention and control. PITC service is an essential means of finding infected people in endemic areas. The area should actively create conditions that include training of medical personnel in AIDS diagnosis and treatment and PITC knowledge and operation skills, increase public awareness and education, and support for relevant supporting policies To promote PITC services.