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目的掌握流动艾滋病病人的治疗现状,分析其异地治疗的主要问题及原因。方法利用国家艾滋病综合防治数据信息管理系统分析艾滋病病毒感染者和接受治疗的艾滋病人的流动情况,在广东、北京、湖南和河南等四省(直辖市,下同),对相关工作人员和病人开展个人深入访谈,了解相关方对艾滋病病人异地治疗的认识和建议。结果病例报告时四省流入的外省艾滋病病人共1 495人,目前纳入四省治疗的外省病人为425人,大多数病人未能纳入流入地治疗。这些流动病人主要通过户籍地邮寄药物作抗病毒治疗。异地工作和生活、获取优质服务、避免歧视等,是异地治疗的主要原因;经费、药品保障不足、根据病人户籍实施差异化补助政策、临时断药等,是异地治疗可能存在的问题。结论合理的异地治疗需求并未得到较好的满足,异地治疗问题会日益凸显,需要国家完善相关政策,建立保障制度。
Objective To understand the current situation of treatment for mobile AIDS patients and analyze the main problems and causes of the treatment in different places. Methods The data of national integrated AIDS prevention and control system were used to analyze the flow of HIV-infected persons and AIDS-affected persons. Relevant staff and patients were carried out in four provinces (municipalities directly under the Central Government, the same below) in Guangdong, Beijing, Hunan and Henan Personal in-depth interviews to understand the parties concerned AIDS treatment and awareness of remote treatment. Results In the case report, a total of 1 495 AIDS patients from other provinces were admitted to the four provinces. At present, 425 people are treated in other provinces in the four provinces, and most of the patients failed to be included in the inflow treatment. These mobile patients primarily mail anti-viral treatments through their domicile. Off-site work and life, access to quality services, to avoid discrimination, is the main reason for off-site treatment; funding, lack of drug protection, implementation of differential subsidies based on the patient’s household registration policy, temporary off drugs, etc., may exist in remote treatment problems. Conclusions Reasonable demand for off-site treatment has not been satisfactorily met. Treatment problems in different places will become increasingly prominent. Countries need to improve relevant policies and establish a safeguards system.