Grossman Howard A
Columbia University, College of Physicians and Surgeons, New York, USA.
AIDS Read. 2006 Sep;16(9):479-86.
HIV medicine is a complex and rapidly changing field that requires experienced care providers. Clinical research has shown what has always been intuitive: providers with more experience have patients with better outcomes, and the resultant decrease in morbidity, mortality, and inpatient costs of expert care are cost-effective. As a result, there is a need to identify providers who can give the best quality care to persons living with HIV/AIDS. The American Academy of HIV Medicine has established a credentialing process to identify HIV specialists who demonstrate continuing competency in key aspects of HIV medicine from among a broad range of HIV health care providers. Several other organizations have attempted to identify qualified HIV medical providers but differ in key aspects of their definition of an HIV expert, with differing effects on the quality of health care delivered to persons living with HIV/AIDS. There is a need for all interested parties to come together to find solutions; to address the need for, and barriers to, increasing the number of HIV specialists; and to come to a consensus about the best way to ensure quality care for all those living with HIV/AIDS.
艾滋病药物治疗是一个复杂且快速变化的领域，需要经验丰富的医护人员。临床研究证实了一直以来的直观感受：经验更丰富的医护人员治疗的患者预后更好，专家护理带来的发病率、死亡率降低以及住院费用减少具有成本效益。因此，有必要确定能够为艾滋病毒/艾滋病感染者提供最高质量护理的医护人员。美国艾滋病医学学会已制定了一项认证程序，以从广泛的艾滋病医疗服务提供者中识别出在艾滋病医学关键方面具备持续能力的艾滋病专家。其他几个组织也试图确定合格的艾滋病医疗服务提供者，但在艾滋病专家定义的关键方面存在差异，这对为艾滋病毒/艾滋病感染者提供的医疗服务质量产生了不同影响。所有相关方有必要共同努力寻找解决方案；解决增加艾滋病专家数量的需求和障碍；并就确保为所有艾滋病毒/艾滋病感染者提供优质护理的最佳方式达成共识。
