Kawata P A, Andriote J M
National AIDS Network, Washington, DC 20005.
Public Health Rep. 1988 May-Jun;103(3):299-304.
Because of the variety of needs engendered by AIDS, a broadbased response to the epidemic is warranted. The traditional medical model, with its emphasis on inpatient hospital care, is expensive and fails to address other needs of people with AIDS (PWAs). This paper outlines an alternative model: the community-based response, or continuum-of-care model. It builds on earlier community models of an integrated network of service providers who can better meet a range of needs of PWAs outside the hospital. Although the model may include a designated hospital AIDS unit that supplies inpatient services, the continuum-of-care model incorporates other nonacute and psychosocial services offered through community-based providers, and these services rely to a large extent on volunteers. Nationwide, more than 400 community-based AIDS service organizations have been formed in response to the growing AIDS epidemic, or have evolved from existing organizations. The National AIDS Network (NAN) was formed in 1985 by five such organizations to represent at the national level the vision of community-based AIDS care. As the nexus for a national community-based response, NAN acts as a conduit for service providers to share experience as well as a clearinghouse for information and programs.
由于艾滋病引发了各种各样的需求，因此有必要对这一流行病做出广泛的应对。传统的医疗模式侧重于住院治疗，成本高昂，且无法满足艾滋病患者的其他需求。本文概述了一种替代模式：基于社区的应对模式，即连续护理模式。它建立在早期社区模式的基础上，该模式有一个服务提供者综合网络，能够更好地满足艾滋病患者在医院之外的一系列需求。尽管该模式可能包括一个提供住院服务的指定医院艾滋病科室，但连续护理模式纳入了通过社区提供者提供的其他非急性和心理社会服务，而且这些服务在很大程度上依赖志愿者。在全国范围内，为应对不断蔓延的艾滋病疫情，已成立了400多个基于社区的艾滋病服务组织，或者是由现有组织发展而来。全国艾滋病网络（NAN）于1985年由五个这样的组织成立，在国家层面代表基于社区的艾滋病护理愿景。作为全国基于社区应对措施的枢纽，NAN充当服务提供者分享经验的渠道以及信息和项目的交换中心。
