高危人员HIV检测要登记入档


高危人员HIV检测要登记入档

 
 
 
 
 

高危人员HIV检测要登记入档
http://www.sina.com.cn  2009年05月14日05:11  今日早报
  □本报记者 王增军 何丽娜

  26岁的陈玲(化名)是杭州下城区某洗浴中心的服务人员。“入行”两个年头,她不禁替自己的健康担忧,偷偷去医院做HIV抗体检查。

  每次领回报告单,陈玲匆匆看过几眼后,就会扔掉单子。

  或许,她今后不能再这样“处理”报告单了。从今年3月份开始,下城区在桑拿中心、KTV等休闲娱乐场所的艾滋病高危人群中试点建起了“一人一档”的健康档案。

  很多和陈玲一样的高危人员拿到HIV抗体检查报告单后,须交给娱乐场所的管理人员,登记到统一保管的档案中。

  来自下城区卫生监督所的消息说,截至目前,下城20多家桑拿中心、KTV的200多名高危人员有了健康档案。有关部门也正计划在全区相关场所推广。

  高危人员HIV检测要登记入档

  杭州下城区为娱乐场所艾滋病高危人群建健康档案

  动态记录服务人员健康状态

  下城区某桑拿中心营业已有数个年头,规模不是很大,除去场所管理人员后,有10多名女性服务人员。

  前一阵子,这个桑拿中心的老板从卫生监督部门领到了10多份高危人群健康档案,被要求对每一名服务小姐的健康状态进行动态记录。

  从健康档案的内容看,档案由艾滋病预防知识、个人基本信息(包括姓名、性别、籍贯、联系电话、从事“此行业”时间等),以及体检记录三部分组成。

  “主要是登记HIV检测结果,还要写清检查的时间。”知情人士说。

  “她们以前扔掉了太多报告单。空口无凭,我们在调查中很难判断是真是假。有了健康档案,我们就能通过白纸黑字掌握具体情况。”下城区卫生监督所副所长胡立群接受记者采访时说,从卫生监管角度来看,建立健康档案,最直接的一个作用就是缓解了对这些艾滋病高危人群的监管难。

  “桑拿、KTV等公共场所的技师、公关人员是艾滋病防治工作的重点监管对象。但这些从业人员流动性非常大,给艾滋病防治工作带来了很大的隐患。”

  胡立群说,建档工作不仅使高危人群都在卫生监督人员的“掌控”之中,方便今后传染病学调查,无形中也督促经营单位增强自身防范意识和责任意识。

  档案由娱乐场所集中保管

  据下城区卫生监督所有关工作人员说,他们建立这样的健康档案,当初是受到了社区家庭健康档案的启发。“但高危人群健康档案,不要求对个人的所有健康问题全面记录,着重关注性传播疾病尤其是艾滋病。”

  “体检记录尤其要求高危人员注明HIV检测结果,并须附上体检报告的原件或者复印件,最后由娱乐场所的管理人员签名证明。”相关工作人员说。

  胡立群告诉记者,健康档案原则上要求由娱乐场所集中保管,并要及时更新信息,随时供卫生监督人员检查。

  “我们主要跟娱乐场所的经营者联系,由他们具体操作,给那些高危人员登记健康状态。试点两个月,这些场所反馈过来的情况还不错。” 胡立群说。

  “当然,从我们的检查结果看,少数娱乐场所包括从业人员还是不大理解,健康登记也不是很积极。这还需要我们引导。”

  有意在全区相关场所推广

  目前,下城区卫生监督所正在积极地试点公共场所高危人群健康建档工作。如果效果不错的话,他们有意将这项工作向全区范围包括洗头店、休闲店在内的相关场所推广。

  当然,要真正推广这项工作,还需要面对几个问题。

  经营场所统一保管档案,如何避免产生个人隐私纠纷?

  下城区卫生监督所有关人员说,很多娱乐场所对从业人员知根知底,从现实情况看经营场所不可能向外泄露个人信息,更不会出现产生某些纠纷后拿这个档案相威胁的情况。“现在也没有单位提出来说因为这个问题而做不下去了。”

  如果经营场所倒闭或者停业了,这些健康档案如何处置?

  胡立群说,试点工作中,还没有遇到这种情况。“这是一项创新的卫生监管办法。在试点工作中,还需要进一步摸索。”胡立群说,“至于场所服务人员离职时能不能带走这份档案,这由双方协商决定。”

  向全区相关场所推广的难度在哪里?

  胡立群说,主要是这些场所高危人员的流动性大,“今天看到的人明天就可能不在了。”很难做到100%覆盖,比如那些街头巷尾只有两三个人的小休闲店等,难以监管。“但我们会尽量覆盖所有相关行业。”
 

HIV testing in high-risk persons to be registered into the file
http://www.sina.com.cn 2009 on 14 day 05 years today Post 05:11
□ WANG Zeng-jun reporter何丽娜

26-year-old Chen Ling (a pseudonym) is a Hangzhou Xiacheng staff bath. "Join" two years, she can not help but worry for their health, secretly go to the hospital to do HIV antibody test.

Link back to each report card, Ling hurriedly read several times, the list will be thrown away.

Perhaps, she can no longer such a "deal with" a single report. From the beginning of March this year, under the City Center in the sauna, KTV and other leisure and entertainment in high-risk groups of AIDS set up the pilot "One Person, One file," the health of the file.

And Chen Ling a lot of staff get the same high-risk HIV antibodies after a single inspection report shall be handed over to the management of places of entertainment, registration to the reunification of the custody of the file.

From under the City Health Authority said, as of now, more than 20 under the City Center, Sauna, KTV more than 200 high-risk persons, health file. Departments are also being planned in the region related to the promotion places.

HIV testing in high-risk persons to be registered into the file

Xiacheng Hangzhou high-risk groups for AIDS entertainment files to build health

Dynamic health records services

A sauna under the City Center business for several years, the scale is not a great place to remove the management of personnel, more than 10 female service personnel.

Not long ago, the owner of the sauna center supervision from the health department received more than 10 health files were high-risk groups, have been asked to Miss a service for each health state of dynamic records.

The contents of the file from a health perspective, the file by the AIDS prevention knowledge, the basic personal information (including name, sex, place of origin, contact telephone number, to engage in "the industry" time, etc.), as well as the medical records of three parts.

"The main thing is to register the results of HIV testing, but also the time to check写清." Informed sources said.

"They throw a lot of previous report card. With non-empty, we find it difficult to tell in the survey is true or false. With health files, we will be able to grasp the specific circumstances of the adoption of black and white." Under the supervision of the City Health and Hu Liqun, deputy director of the an interview with reporters, said that from the perspective of health monitoring, the establishment of the health file, the most direct effect is that an easing of these high-risk groups of AIDS monitoring difficult.

"Sauna, KTV technicians and other public places, public relations staff is the focus of AIDS prevention and control regulation of the target. However, the mobility of these workers is very large, to AIDS is a big risk."

Li-Qun Hu said that the file not only high-risk groups so that all supervisory personnel in the health of the "control", and to facilitate the future investigation of infectious diseases, potentially also urge the business units to enhance their awareness and responsibility.

The file kept by the entertainment focus

According to City Health Authority under the relevant staff that the health of their establishment of such files, it was subject to a community inspired by the family health record. "But the high-risk population health file, does not require the individual all-round record of all health problems, to focus on sexually transmitted diseases, especially AIDS."

"In particular, the requirements of high-risk medical personnel records indicate the results of HIV testing and medical reports to be accompanied by the original or a copy of the final signature entertainment managers to prove." Relevant staff said.

Li-Qun Hu told reporters that the health of the file requested by the entertainment in principle to focus on custody, and to update information at any time for health supervision inspection.

"We are the main operators of entertainment venues with the contact, from their specific operation, to those who registered high-risk health. Pilot for two months, feedback from these places is still good." Hu Liqun said.

"Of course, the results from our view, a small number of places of entertainment, including employees or do not understand the registration of health is not very active. It also requires us to lead."

Places of interest in the region related to the promotion of

At present, under the District Health Authority is actively pilot high-risk groups in public places the work of the health file. If the results are good, they will be interested in the scope of this work to the region, including shampoo shops, leisure outlets, including the promotion of related sites.

Of course, if we really want to promote this work, but also have to face several problems.

Custody premises unified file, how to avoid disputes arising from privacy?

Under the relevant District Health Authority said a lot of entertainment for the employees to know the root知底, from a realistic point of view can not be outside establishments disclosure of personal information, nor will there be any disputes arising from some of the files after the threat of use of the situation. "Now there is no unit for this problem because the做不下去."

If the operator or the closure of places of business, and how to deal with these health files?

Li-Qun Hu said that the pilot work, has not yet come across such cases. "This is an innovative approach to health supervision. In the experimental work also needs to be further explored." Hu Liqun said, "As for places to leave when staff can take this file, this should be decided through mutual consultation."

Places the region related to the difficulty of promotion Where?

Li-Qun Hu said that these places are mainly high-risk personnel are highly mobile, "we see today may be gone tomorrow." Difficult to achieve 100% coverage, for example, only two or three individuals who the man in the street of small shops, such as leisure, it is difficult to regulatory . "But we will try to cover all related industries."
 
 
 
 
 

[ 作者:佚名    转贴自:本站原创    点击数:196    更新时间:2009-5-14    文章录入:nnb ]