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艾滋病诊疗也有一站式服务?

2017-11-23 达医晓护 健康界

截至2017年3月31日,全国报告现存活艾滋病病毒(HIV)感染者/AIDS患者 691098 例,报告死亡 214849例。

从中国疾控中心获悉,截至2017年3月31日,全国报告现存活艾滋病病毒(HIV)感染者/AIDS患者 691098 例,报告死亡 214849例。现存活HIV感染者 420866 例,AIDS患者 288232例,治疗依从性差是艾滋病患者在治疗过程中普遍存在的问题。   

近年来,艾滋病一站式服务项目的启动在提升患者治疗依从性上发挥着重要作用,筛查阳性后即启动国家免费抗病毒治疗程序“一站式”服务的措施。

推广一站式检测服务

缩短从检测到治疗的时间

“一站式服务”可有效缩短检测到治疗的时间,让患者尽快得到抗病毒治疗,通过早期干预,可以有效提高HIV/AIDS患者的依从性,能缓解患者的病情,提高患者的生活质量,降低死亡率,该项目具有重要意义。

一是为患者提供关怀救助,给家庭贫困的儿童艾滋病患者提供关怀救助,为部分困难患者提供抗机会性感染药物;

二是提供管理经验,该项目提供了先进的艾滋病抗病毒治疗管理经验,优化治疗流程,缩短了等候时间,提高了患者满意度。

三是优化工作成效,该项目有效提高了各试点工作效率、工作质量、工作人员诊疗水平,艾滋病初筛、确证、咨询、感染者随访、体检、抗病毒治疗等一系列技术得到优化,各医疗卫生机构内部以及各医疗卫生机构之间转介衔接得到加强。

上海市艾滋病诊疗中心

让患者告别看病难手术难

为艾滋病患者提供综合诊治服务,满足艾滋病患者和感染者机会性感染的医疗救治需要,提高本市艾滋病的综合防治能力,降低艾滋病发病率和病死率,提高患者生存质量,对艾滋病防治中的相关问题进行深入研究,促进和谐社会建设。2010年1月5日,上海市艾滋病诊疗中心在上海市(复旦大学附属)公共卫生临床中心挂牌成立,上海市艾滋病诊疗中心由上海市卫生局主管,上海市性病艾滋病协会主任委员李忠尧担任名誉主任,上海市艾滋病治疗专家组组长、上海市(复旦大学附属)公共卫生临床中心党委书记、复旦大学附属华山医院院长助理卢洪洲教授担任主任。


针对以往艾滋病患者“看病难尤其手术无门”的困境,上海市艾滋病诊疗中心率先在国内探讨区域性艾滋病综合诊治机制,首次提出艾滋病“一站式”诊治服务的理念和实践模式。为艾滋病患者提供包括内科、外科、五官科、妇产科等在内的综合诊治服务,提供HIV职业暴露、HIV母婴传播阻断、心理咨询等服务,在艾滋病临床诊治和基础研究方面具有较强实力。

 

同时依托上海市公共卫生临床中心生物安全二级、三级实验室,动物实验中心、科研共享平台、先进仪器设备等一流的传染病研究平台和基础研究方面的较强实力,对艾滋病防治领域中的相关问题如抗病毒治疗方案优化、HIV耐药、疫苗研发等进行攻关研究,以提高艾滋病综合防治水平,从而降低艾滋病的发病率和病死率,减少艾滋病传播,促进上海市艾滋病防治水平的提高。

上海市公共卫生临床中心始建于1914年,是一所具百年历史的三级甲等医院,2004年作为市府“一号工程”迁址发展,医院环境优美,占地面积33万平米,建筑面积127415.22平方米,位居全市之首。医院目前核定床位660张,后续会扩展到1000张床位。临床科室设有感染一科、感染二科、感染三科、结核科、肝病一科、肝病二科、重症肝病科、呼吸内科、消化内科、中医科、综合内科、肾内科、重症医学科、神经外科科、普外科、胸外科、骨科、肝胆外科、泌尿外科、介入科、妇产科、儿科、 麻醉科、五官科、口腔科、体检中心29个科室,专长于治新发和再发传染病、重症肝炎救治、危重症孕产妇抢救、艾滋病救治、结核救治、是市级医院肉瘤诊疗中心。在历史典型的传染病防治战役和新时期传染病防治战役中发挥着重要作用。

医学教育涵盖本科、硕士、博士学历学位教育,是WHO新发与再现传染病临床研究与培训中心,全国传染病医师进修教育培训基地,中国疾病预防控制中心艾滋病临床进修教育基地,国家临床重点专科建设项目单位。

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  1. 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time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263875, encodeId=a1a82638e500, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Nov 24 08:36:46 CST 2017, time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263860, encodeId=cf0c263860e6, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri Nov 24 08:05:29 CST 2017, time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263841, encodeId=4e262638416c, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:34 CST 2017, time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263840, encodeId=a50326384096, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2018-05-14 fusion
  2. 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    2017-11-25 kalery

    好文章学习了

    0

  3. 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createdName=天涯183, createdTime=Fri Nov 24 08:05:29 CST 2017, time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263841, encodeId=4e262638416c, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:34 CST 2017, time=2017-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=263840, encodeId=a50326384096, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-25 smartxiuxiu

    人文医疗

    0

  4. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 Y—xianghai

    学习了新知识

    0

  5. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 祝您健康

    关爱HIV就是关爱人类健康!

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 戒馋,懒,贪

    谢谢分享学习了

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 Y—xianghai

    学习了新知识

    0

  8. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 天涯183

    非常好的文章.学习了

    0

  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Fri Nov 24 07:19:29 CST 2017, time=2017-11-24, status=1, ipAttribution=)]
    2017-11-24 榄枷檬

    谢谢分享

    0

  10. 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    2017-11-24 榄枷檬

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