论文部分内容阅读
目的为探索公共卫生学的方法应对庞大的病人管理所需要的复杂的艾滋病临床管理培训。方法运用世界卫生组织的IMAI临床治疗团队培训模式,结合中国的县、乡、村三级卫生服务网络进行基本医疗服务内容的培训,服务于病人的综合管理。结果通过第三轮中国全球基金艾滋病项目和中国-世界卫生组织-瑞典综合防治项目的实践,治疗工作得到扎实稳步推进。项目试点地区新增加治疗病人1年内完成7次随访比例由项目前的40.0%提高到88.6%,差异有统计学意义(χ2=112.8,P<0.001)。在项目点的带动下,项目省的治疗人数迅速扩大,前者7省累计治疗病人数从2005年底的19 558人增长到2008年底32 078人;后者一个项目省湖南从2006年底累计治疗人数为336人,增加到2008年底的1 289人,项目前后增加至近4倍。从而有利支持了项目治疗指标的完成。结论ECP-IMAI是一项推动艾滋病临床治疗培训与管理的公共卫生学策略,适应于中国的艾滋病临床队伍的培训,但是需要根据具体情况进行培训材料的修订和培训团队成员的选择。
Objectives To explore the complex methods of clinical management of AIDS that are needed for managing a large patient population in public health. Methods The training mode of WHO IMAI clinical treatment team was used to train the basic medical service with the three levels of health service network of county, township and village in China to serve the integrated management of patients. Results Through the third round of China Global Fund AIDS Program and the practice of China-WHO-Sweden Integrated Prevention and Control Project, the treatment has been steadily and steadily promoted. The proportion of newly-treated patients who completed 7 follow-ups within one year from the pre-project was increased to 88.6% from the pre-project (χ2 = 112.8, P <0.001). Driven by the project sites, the number of people under treatment in the project province expanded rapidly. The cumulative treatment of patients in the former 7 provinces increased from 19,558 people at the end of 2005 to 32,078 people by the end of 2008. The latter, a project province, has accumulated treatment numbers from the end of 2006 to 336 people, which increased to 1 289 at the end of 2008, increasing nearly four times before and after the project. Thus benefiting the completion of the project treatment index. Conclusion ECP-IMAI is a public health strategy to promote clinical training and management of AIDS. It is adapted to the training of clinical AIDS patients in China. However, the training materials and the selection of training team members need to be revised according to specific situations.