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目的 对四川、云南试点地区公立医疗机构性病服务质量进行调查评估 ,以便为改善性病服务质量和开展有针对性的干预提出建议。方法 在四川、云南的 6个试点地区选择所有性病专科门诊和部分综合医院皮肤科、泌尿科、妇产科作为被调查单位 ,直接观察和访谈医生了解医生处理性病病例的过程。结果 通过观察 81位医生对 76例性病及 5例阴道分泌物异常伴下腹痛病例处理过程和访谈 94位医生 ,按照WHO/GPA评估指标 ,规范处理病人的比例较低 (PI -6)四川为 10 % ,云南为 14 3 % ,主要是过度治疗 ,也有一定比例的错误治疗。建议使用安全套和性伴通知的比例 (PI-7)四川为 88 3 % ,云南为 57 1%。总体服务质量 (PI -6+ 7) ,四川为 10 0 % ,云南为 4 8%。结论 公立医疗机构包括综合医院和性病专科医院的医生在性病规范诊疗方面工作较差 ,预防服务意识不强。今后应加强对医务人员的性病艾滋病专业培训 ,进一步提高性病服务质量
Objective To investigate and evaluate the quality of venereal disease services in public medical institutions in Sichuan and Yunnan pilot regions in order to provide recommendations for improving the quality of venereal disease services and carrying out targeted interventions. Methods In the six pilot regions of Sichuan and Yunnan, all specialist out-patients for sexually transmitted diseases and some general hospitals, dermatology, urology, and obstetrics and gynecology were selected as the surveyed units. Direct observations and interviews with doctors were conducted to understand the doctors’ treatment of sexually transmitted diseases. Results Eighty-six physicians were involved in the treatment of 76 cases of STD and 5 cases of vaginal discharge abnormalities with abdominal pain and interviews with 94 doctors. According to the WHO/GPA assessment index, the proportion of standardized patients was lower (PI -6) in Sichuan. 10%, Yunnan is 14 3%, mainly over treatment, but also a certain percentage of wrong treatment. Proportions of condom use and partner notification (PI-7) are 88. 3% in Sichuan and 57.1% in Yunnan. The overall service quality (PI -6 + 7) is 10% in Sichuan and 48% in Yunnan. Conclusion Doctors in public medical institutions, including general hospitals and STD hospitals, work poorly in the treatment of sexually transmitted diseases, and their awareness of preventive services is not strong. In the future, the professional training for STDs and AIDS among medical personnel should be strengthened to further improve the quality of STI services.