近日，中国艾滋病病毒携带者联盟公布一项调查与建议报告称，手术难是我国艾滋病病毒感染者就医时面临的最突出问题，急需政府部门推动相关政策法规的制定和落实，依法保障艾滋病病毒感染者平等获得手术治疗的权利。
手术难问题普遍存在
2009年，中国艾滋病病毒携带者联盟与中国人口福利基金会合作，在全国范围内对艾滋病病毒感染者的治疗与生存状况展开调查。调查组走访了全国26个省(区、市)45个市(县)的123名相关人员，在受访的108名感染者中，有18人面临手术，但其中有15人遭到医院的拒绝或推诿，其余3人尽管最终进行了手术，但都付出了额外的代价。此后，该联盟又在11个省(市)收集到艾滋病病毒感染者遭推诿或拒绝手术的案例20个。这38个案例既有发生在三级甲等医院的，也有发生在二级及以下医院及民营医院的。
该联盟负责人孟林说，大范围专项调查显示，艾滋病病毒感染者手术难的问题不仅发生在有一定难度的手术上，也发生在没有什么难度的手术上，甚至连痔疮治疗、息肉切除、外伤清创缝合、骨折复位等基本手术需求，感染者也无法得到满足。调查显示，感染者手术难全部发生在医疗机构获知患者感染事实之后，其中约八成为感染者主动向医务人员告知，约两成为医疗机构术前检查获知。
解决手术难需综合措施保障
全国政协委员、中国中医科学院中医药防治艾滋病研究中心常务副主任王健近日在接受本报记者采访时说，染艾者手术难问题，一方面反映了在医务人员中存在着歧视艾滋病病毒感染者的现象，一方面也提示了应建立必要的保障机制，以消除医务人员救治艾滋病病毒感染者时的顾虑和担心。需要有针对性地采取进一步措施，保证感染者手术治疗有一条绿色通道。
中国艾滋病病毒携带者联盟呼吁，医疗机构和医务人员应率先垂范，不歧视艾滋病病人，展开专项执法监督检查，查处推诿或拒绝为感染者提供手术治疗的行为；建立监督和投诉平台，接收和处理来自感染者及社会公众、大众媒体、民间组织等的监督信息；取消艾滋病定点医院，将艾滋病治疗纳入常规医疗体系，感染者有关艾滋病治疗的诊疗服务由各医疗机构感染科(室)承担，感染者所患其他与艾滋病无关的疾病按诊疗需求由相应科(室)承担；同时，建立医疗机构从业人员职业防护以及职业暴露应急处置办法，保护医务人员免受感染，并建立合理的补偿机制。
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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"Ai infected person operation difficult" call renewed
Zhejiang Online Health Network health.zjol.com.cn 2011 年 03 月 17 日
Recently, the League of HIV carriers in China released a survey report and recommendations, surgery is difficult for medical treatment of HIV infection in China when the most prominent issues facing the urgent need to promote government policies and regulations related to the formulation and implementation of HIV infection protection law persons the right to equal access to surgical treatment.
Difficulty of common surgical
In 2009, China's HIV carriers Union and the China Population Welfare Foundation, in the country on HIV treatment and living conditions of the investigation. Investigation team visited the country's 26 provinces (autonomous regions and municipalities), 45 cities (counties) of the 123 relevant personnel in 108 infected persons interviewed, 18 were facing surgery, but 15 people were hospital refuse or shirk, and the remaining 3 underwent surgery despite the end, but they paid the extra price. Since then, the Union again in 11 provinces (municipalities) to collect HIV shirk or refuse surgery was the case 20. The 38 cases occurred in hospitals of both, but also occur in the secondary and the following hospitals and private hospitals.
The Alliance leader, said Meng Lin, a wide range of special survey, HIV surgery difficult problem not only in a certain degree of difficulty of the surgery, but also there is no difficulty in surgical operations, and even hemorrhoids treatment, polypectomy, traumatic debridement, fracture reduction and other basic surgical needs, infection can not be met. Survey showed that all infected persons is difficult surgery was informed that patients in medical institutions in the infection after the fact, of which about eight to become infected with the initiative to inform the medical personnel, medical institutions about two preoperative examination to become informed.
Difficult to take comprehensive measures to solve the security operation
CPPCC National Committee member of China Academy of Traditional Chinese Medicine AIDS Research Center Deputy Director Wang Jian interviewed recently said that those infected surgical Ai difficult problem, on the one hand reflects the existence of the medical staff discriminate against people living with HIV phenomenon, and partly to suggest the necessary security mechanism should be established to eliminate the medical staff when HIV treatment concerns and worries. Need to take further targeted measures to ensure that there is a surgical treatment of infected green channel.
Union calls for HIV carriers in China, medical institutions and medical personnel should be setting an example, non-discrimination of AIDS patients, expand the special law enforcement supervision and inspection, investigation or refuse to impute to provide surgical treatment for the infection of the behavior; establishment of monitoring and complaint platform, receiving and processing from infected persons and the public, mass media, civil society organizations such as the monitoring information; cancel AIDS designated hospitals, the AIDS treatment into routine health care system, HIV treatment services related to AIDS treatment by the medical institutions of Infectious Diseases (room) commitment The risk of infection and other AIDS-related diseases by treatment demand by the appropriate Branch (Room) commitment; the same time, the establishment of medical institutions and the occupational exposure of occupational emergency protective measures to protect medical staff from infection and to establish reasonable compensation mechanism .
Source: Health News Analysis: Zheng dexterity Editor: Zhou Shasha
