Abstract：Objective To evaluate the effectiveness of referral services for HIV-infected individuals and AIDS patients (i.e. HIV/AIDS) in medical and health institutions, and to provide a scientific basis for establishing an effective HIV referral service system. Methods The CD4 detection rate, antiviral treatment coverage rate and HIV antibody detection rate of single positive family spouses of HIV/AIDS patients were obtained from the AIDS comprehensive prevention and treatment data information system. Through the referral reports submitted by 15 counties and districts, the referral status was collected and the therapy status of referral group was followed up. We evaluated the effectiveness of the referral service model by comparing and analyzing the indicators for AIDS prevention before and after the establishment of the AIDS referral service system and the effective referral of HIV/AIDS patients. Results After establishing the referral service system, the referral rate increased from 76.89% to 99.48% in the newly reported cases in the same year (χ2=462.757, P<0.001), the successful referral treatment rate from 57.02% to 82.42% (χ2=244.632, P<0.001), the CD4 detection rate from 61.46% to 98.70% (χ2=813.233, P<0.001), and the proportion of receiving antiretroviral treatment from 56.04% to 83.35% (χ2=290.756, P<0.001) in the same year, showing statistically significant differences. The average number of days between detection and confirmation of reported antiviral treatment cases decreased from (26.37±12.64) days to (17.11±6.37) days, with a statistically significant difference (U=20.74, P<0.001). In the cumulatively reported surviving but untreated cases in the same year, the referral rate increased from 26.09% to 59.48% (χ2=370.243, P<0.001), the successful referral treatment rate from 17.01% to 52.42% (χ2=137.647, P<0.001), and the CD4 detection rate from 37.49% to 51.73% (χ2=67.444, P<0.001), showing statistically significant differences. In the surviving and follow-up cases in the same year, the CD4 detection rate increased from 77.56% to 87.21% (χ2=331.498, P<0.001), the antiviral treatment coverage rate from 77.08% to 83.54% (χ2=226.009, P<0.001), and the HIV detection rate of spouses or fixed partners of HIV/AIDS patients from 76.29% to 90.49% (χ2=179.660, P<0.001), showing statistically significant differences. Conclusions The model of referral service for HIV/AIDS patients in Nanning city, Guangxi is effective. It is necessary to further strengthen the management of surviving but untreated cases and improve the service quality of result notification in medical institutions in future so as to ensure the effective management and treatment of HIV/AIDS patients and prevent the second-generation transmission of HIV.
农丽萍, 何波, 汤洪洋, 岑平, 林倩, 李斯斯, 徐红, 姚敏, 覃威翱, 邓小芳. 广西南宁市HIV/AIDS患者转介服务模式与效果评价[J]. 实用预防医学, 2019, 26(8): 919-922.
NONG Li-ping, HE Bo, TANG Hong-yang, CEN Ping, LIN Qian, LI Si-si, XU Hong, YAO Min, QIN Wei-ao, DENG Xiao-fang. Referral service model and its effect evaluation among HIV/AIDS patients in Nanning city, Guangxi. , 2019, 26(8): 919-922.
2019, Vol. 26 
