Investigation of the status of HIV testing is available in sexually transmitted diseases related clinics in some areas in China
WANG Haixue and HU Jingkun contributed equally to this article
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摘要:
目的 了解近年来中国部分地区性病相关门诊提供HIV检测的现况，为进一步提高HIV检测效率提供参考。 方法 采用目的抽样的方法，选取北京市、宁波市、柳州市、宜宾市、昆明市5个地区9家医疗卫生机构的性病相关门诊临床医生，采用个人深入访谈的方式进行HIV检测现况调查。 结果 共访谈性病相关门诊临床医生18人，学历以学士为主(77.78%), 职称以副主任医师为主(55.56%)；HIV检测比例和HIV阳性检出比例在不同地区，不同医疗卫生机构之间差异较大。性病相关门诊提供HIV检测时存在缺乏技术指南、临床医生意识薄弱、就诊者配合度低的问题。 结论 应尽快制定性病相关门诊HIV检测技术指南，规范检测工作的开展；同时加强培训，提高临床医生提供HIV检测的意识；加大宣传，提高就诊者对HIV检测必要性的认识及对检测的接受度。 Abstract:Objective To understand the current status of HIV testing in sexually transmitted diseases (STD) related clinics in some Chinese areas in recent years, and to provide reference for improving the efficiency of HIV testing. Methods Purposive sampling method was used to investigate the outpatient clinicians of STD related clinics in 9 medical institutions in Beijing, Ningbo, Liuzhou, Yibin and Kunming. Personal in-depth interview was used to investigate the status of HIV testing. Results A total of 18 outpatient clinicians in STD related clinics were interviewed. Most of them had bachelor′s degree (77.78%). Most of their professional titles were deputy chief physicians (55.56%). The proportion of HIV testing and the proportion of HIV-positive rate varied greatly between different regions and different medical institutions. There were some problems in the provision of HIV testing in STD related clinics, such as the lack of technical guidance documents, the weak awareness of clinicians and the low cooperation of patients. Conclusions Technical guidance documents should be formulated to standardize the HIV testing as soon as possible. At the same time, training should be strengthened to improve the awareness of clinicians in providing HIV testing. We should strengthen the propaganda to raise awareness of the necessity of HIV testing and the acceptance of HIV testing in patients. -
Key words:
- AIDS /
- Sexually transmitted diseases related clinics /
- HIV testing
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表 1 医疗卫生机构访谈医生的一般情况
Table 1. Basic information of clinicians interviewed in medical institutions
地区District 医疗卫生机构名称Medical institutions 医疗卫生机构性质和等级Type and grade of medical institutions 访谈科室Departments interviewed 访谈医生职称、学历The professional title and educational background of the interviewed clinicians 北京市朝阳区Chaoyang District, Beijing Municipality 北京市某皮肤病医院A dermatology hospital in Beijing 民营专科医院(三级) Private specialized hospital (Grade-Ⅲ) 皮肤性病科Dermatovenereology 主治医师(学士) Attending physician (Bachelor) 浙江省宁波市Ningbo City, Zhejiang Province 北仑区某医院A hospital in Beilun District 公立综合医院(三级乙等) Public general hospital (Grade-Ⅲ Class-B) 泌尿科、妇科、肛肠外科、皮肤科 ① Urology, Gynecology, anus and intestine surgery, Dermatology ① 副主任医师(学士) Deputy chief physician (Bachelor) 开发区某医院A hospital in Kaifa District 民营综合医院(二级乙等) Private general hospital (Grade-Ⅱ Class-B) 肛肠科、泌尿科、皮肤性病科、妇科 ① Anorectum, Urology, Dermatovenereology, Gynecology 副主任医师(学士) Deputy chief physician (Bachelor) 广西壮族自治区柳州市Liuzhou City, Guangxi Zhuang autonomous region 柳州市某妇幼保健院A maternal and child health care hospital in Liuzhou City 公立专科医院(三级甲等) Public specialized hospital (Grade-Ⅲ Class-A) 皮肤性病科Dermatovenereology 主治医师(学士) Attending physician (Bachelor) 柳州市某疾病预防控制中心A center for disease control and prevention in Liuzhou City — 皮肤病防治科Dermatology 主治医师(大专) Attending physician (Junior college) 柳州市某医院A hospital in Liuzhou City 公立综合医院(三级甲等) Public general hospital (Grade-Ⅲ Class-A) 皮肤性病科，中医肛肠科Dermatovenereology, Anorectum of traditional Chinese medicine 副主任医师(学士) Deputy attending physician (Bachelor) 主任医师(博士) Chief physician (Doctor) 四川省宜宾市Yibin City, Sichuan Province 宜宾市某医院A hospital in Yibin City 公立综合医院(三级甲等) Public general hospital (Grade-Ⅲ Class-A) 皮肤性病科，肛肠科Dermatovenereology, Anorectum 副主任医师(硕士) Deputy chief physician (Master) 住院医师(硕士) Resident physician (Master) 云南省昆明市Kunming City, Yunnan Province 官渡区某医院A hospital in Guandu District 公立综合医院(二级甲等) Public general hospital (Grade-Ⅱ Class-A) 皮肤科，泌尿外科Dermatology, Urinary surgery 副主任医师(学士) Deputy chief physician (Bachelor) 住院医师(学士) Resident physician (Bachelor) 五华区某医院A hospital in Wuhua District 公立综合医院(二级甲等) Public general hospital (Grade-Ⅱ Class-A) 妇产科Gynaecology and obstetrics 主治医师(学士) Attending physician (Bachelor) 注：①这4个科室访谈的4个医生的职称、学历均为副主任医师(学士); ②“—”表明未收集到相关数据。
Note: ① The professional title and educational background of the four doctors interviewed in these four departments are all deputy chief physicians (Bachelor); ② "—" indicates that no data has been collected.
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表 2 医疗卫生机构HIV检测比例及HIV阳性检出比例
Table 2. The proportion of HIV testing and the proportion of HIV-positive in medical institutions
医疗卫生机构名称Medical institutions 科室名称Departments 就诊者检测HIV比例/% The proportion of HIV testing in patients /% HIV阳性检出比例/% The proportion of HIV positive /% 北京某皮肤医院A dermatology hospital in Beijing 皮肤性病科Dermatovenereology 20.00~30.00 — ① 柳州市某妇幼保健院A maternal and child health care hospital in Liuzhou City 皮肤性病科Dermatovenereology 96.00 0.50 柳州市某疾病预防控制中心A center for disease control and prevention in Liuzhou City 皮肤病防治科Dermatology control 100.00 5.00~6.00 柳州市某医院A hospital in Liuzhou City 皮肤性病科Dermatovenereology 8.30 0.20~0.30 中医肛肠科Anorectum of traditional Chinese medicine 5.00 — ① 宜宾市某医院A hospital in Yibin City 皮肤性病科Dermatovenereology 0.25~0.50 0.05 肛肠科Anorectum — ① 1.00~2.00 官渡区某医院A hospital in Guandu District 皮肤科Dermatology 75.00 0.30 泌尿外科Urinary surgery 100.00 — ① 五华区某医院A hospital in Wuhua District 妇产科Gynaecology and obstetrics 65.00 0.05 注：①“—”表明未收集到相关数据。
Note: ① "—" indicates that no data has been collected.
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