Pan R, Zhang J, Chen K, Liao C Q, Tang X, Yao W, Liao X, He N
Department of Chronic Infectious Disease Control and Prevention, Hongkou District Center for Disease Control and Prevention, Shanghai 200082, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 May 6;51(5):438-443. doi: 10.3760/cma.j.issn.0253-9624.2017.05.013.
To analyze satisfaction with follow-up management of HIV/AIDS cases conducted by Community Health Service Center (CHS) and related factors in Hongkou district, Shanghai. Out of 302 HIV/AIDS cases followed up by CHS in Hongkou district from 2012 to 2016, 263 HIV/AIDS cases were recruited to participate in a cross-sectional study assessed by self-designed questionnaire-based interview during October 1, 2016 and October 20, 2016, with efficiency of 87.1%. Information of basic characteristics including sociodemographic, routes of infection, CD4(+)T cell counts, diagnose of AIDS and status of receiving ART were collected, as well as satisfaction with follow-up management conducted by CHS including service professionalism, service attitude, service environment, referral service, privacy protection, health education, psychological support, and care and assistance. Factors related to satisfaction were analyzed using multiple binary logistic regression. Among 263 HIV/AIDS cases, the average age was 42.0±13.5, 93.2% (245 cases) were male and the proportion of overall satisfaction was 72.2% (190 cases). Out of 8 items of satisfaction, service attitude and health education got the highest score with a total number of 235 (89.4%) answering "very satisfied" or "satisfied" , while care and assistance got the lowest score with a total number of 69 (26.2%) answering "dissatisfied" or "very dissatisfied" . Compared to HIV/AIDS local residents and followed up by CHS <12 months, those who were non-local residents and followed up by CHS ≥12 months were more likely to be satisfied, the (95%) were 2.66 (1.30-5.44) and 2.52 (1.01-6.29), respectively. Compared to HIV/AIDS ≤30 years old and receiving ART, those who were 31-50 years or >50 years old and not receiving ART were less likely to be satisfied, the (95%) were 0.36 (0.15-0.89), 0.32 (0.10-0.97) and 0.11 (0.01-0.90), respectively. Satisfaction with follow-up management conducted by CHS in Hongkou district is relatively high. Age, residence, status of receiving ART and cumulative time of following up by CHS are significantly associated with satisfaction, suggesting that CHS should improve their professional abilities during follow-up management, as well as be more targeted and focus on different aspects.
分析上海市虹口区社区卫生服务中心（CHS）对艾滋病病毒/艾滋病（HIV/AIDS）病例的随访管理满意度及相关因素。在2012年至2016年虹口区CHS随访的302例HIV/AIDS病例中，263例HIV/AIDS病例被纳入一项横断面研究，于2016年10月1日至10月20日通过自行设计的问卷调查式访谈进行评估，有效率为87.1%。收集了包括社会人口学、感染途径、CD4(+)T细胞计数、艾滋病诊断及接受抗病毒治疗（ART）情况等基本特征信息，以及对CHS随访管理的满意度，包括服务专业性、服务态度、服务环境、转诊服务、隐私保护、健康教育、心理支持以及关怀与帮助。采用多重二元逻辑回归分析与满意度相关的因素。在263例HIV/AIDS病例中，平均年龄为42.0±13.5岁，男性占93.2%（245例），总体满意度比例为72.2%（190例）。在8项满意度项目中，服务态度和健康教育得分最高，共有235例（89.4%）回答“非常满意”或“满意”，而关怀与帮助得分最低，共有69例（26.2%）回答“不满意”或“非常不满意”。与本地HIV/AIDS居民且CHS随访<12个月相比，非本地居民且CHS随访≥12个月的人更有可能感到满意，比值比（95%可信区间）分别为2.66（1.30 - 5.44）和2.52（1.01 - 6.29）。与年龄≤30岁且接受ART的HIV/AIDS患者相比，年龄为31 - 50岁或>50岁且未接受ART的患者不太可能感到满意，比值比（95%可信区间）分别为0.36（0.15 - 0.89）、0.32（0.10 - 0.97）和0.11（0.01 - 0.90）。虹口区CHS随访管理的满意度相对较高。年龄、居住地、接受ART的情况以及CHS的累计随访时间与满意度显著相关，这表明CHS在随访管理过程中应提高专业能力，同时更具针对性，关注不同方面。
