Director of Medical Services, Federal Ministry of Health, Addis Ababa, Ethiopia.
Curr Opin HIV AIDS. 2010 Jan;5(1):78-82. doi: 10.1097/COH.0b013e328333b87a.
PURPOSE OF VIEW: To illustrate and critically assess what is currently being published on the human resources for health dimension of antiretroviral therapy (ART) delivery models.
The use of human resources for health can have an effect on two crucial aspects of successful ART programmes, namely the scale-up capacity and the long-term retention in care. Task shifting as the delegation of tasks from higher qualified to lower qualified cadres has become a widespread practice in ART delivery models in low-income countries in recent years. It is increasingly shown to effectively reduce the workload for scarce medical doctors without compromising the quality of care. At the same time, it becomes clear that task shifting can only be successful when accompanied by intensive training, supervision and support from existing health system structures.
Although a number of recent publications have focussed on task shifting in ART delivery models, there is a lack of accessible information on the link between task shifting and patient outcomes. Current ART delivery models do not focus sufficiently on retention in care as arguably one of the most important issues for the long-term success of ART programmes. There is a need for context-specific re-designing of current ART delivery models in order to increase access to ART and improve long-term retention.
展示并批判性评估目前在抗逆转录病毒疗法（ART）提供模式的人力资源方面的研究成果。
人力资源的使用可能会对成功的 ART 项目的两个关键方面产生影响，即扩大规模的能力和长期护理的保留。近年来，在资源匮乏的国家中，任务转移（即将任务从高资质人员转移到低资质人员）已成为 ART 提供模式中的一种广泛实践。它已被证明可以有效地减轻稀缺医生的工作量，而不会影响护理质量。同时，越来越明显的是，任务转移只有在现有卫生系统结构提供密集培训、监督和支持的情况下才能成功。
虽然最近有一些出版物专门关注 ART 提供模式中的任务转移，但关于任务转移与患者结果之间的联系，缺乏易于获取的信息。目前的 ART 提供模式没有充分关注护理保留问题，因为这可能是 ART 项目长期成功的最重要问题之一。需要针对具体情况重新设计当前的 ART 提供模式，以增加获得 ART 的机会并提高长期保留率。
