Potempa Kathleen, Phancharoenworakul Kobkul, Glass Nancy, Chasombat Sanchai, Cody Billy J
School of Nursing, University of Michigan, 400 North Ingalls, Suite 1320, Ann Arbor, MI 48109-5482, USA.
Collegian. 2009;16(2):49-53. doi: 10.1016/j.colegn.2009.02.002.
Thailand is one of the first countries to have achieved significant advances in control over the HIV/AIDS epidemic occurring within its borders. Despite this impressive accomplishment, the disease continues to be a Leading cause of death in Thailand and is migrating into Thai populations heretofore relatively free of it, such as married women. In 2003, a unique Thai, American, academic, and government collaboration formed to address the on-going challenges of HIV/AIDS in Thailand and its emerging characteristics. The objective of this collaboration was to increase the capacity of Thailand's public health infrastructure to address the challenges of HIV/AIDS by utilizing a Larger and more empowered role for nurses within the country's existing health care system. This collaboration consisted of the Deans' Consortium of Nursing Educational Institutions, the Thai Ministry of Public Health, the Faculty of Nursing at Mahidol University, and United States university nursing educators. This paper describes the process that brought this collaboration into being. It also describes the outcomes achieved by this collaboration; a collaboration that realized a national strategy to Leverage and expand the role of public health nurses and the initiation of a nurse practitioners' role in the prevention and treatment of HIV/AIDS. This collaboration and strategy increased the capacity of the health care system in Thailand to more effectively meet the challenges posed by all infectious diseases in Thailand and, in particular, HIV/AIDS.
泰国是最早在控制境内艾滋病毒/艾滋病疫情方面取得重大进展的国家之一。尽管取得了这一令人瞩目的成就，但该疾病仍是泰国主要的死因之一，并且正在向泰国以往相对没有感染该疾病的人群扩散，比如已婚妇女。2003年，泰国、美国、学术界和政府开展了独特的合作，以应对泰国艾滋病毒/艾滋病持续存在的挑战及其新出现的特征。此次合作的目标是通过在泰国现有的医疗保健系统中赋予护士更大、更有权力的角色，来提高泰国公共卫生基础设施应对艾滋病毒/艾滋病挑战的能力。该合作由护理教育机构院长联合会、泰国公共卫生部、玛希隆大学护理学院以及美国大学护理教育工作者组成。本文描述了促成此次合作的过程。它还描述了此次合作取得的成果；这一合作实现了一项国家战略，即利用并扩大公共卫生护士的作用，并启动了护士从业者在艾滋病毒/艾滋病预防和治疗中的作用。这一合作及战略提高了泰国医疗保健系统更有效应对泰国所有传染病，特别是艾滋病毒/艾滋病所带来挑战的能力。
