中国农村卫生事业管理2026，Vol.46Issue(4)：268-275,8.DOI:10.19955/j.cnki.1005-5916.2026.04.007
基于SFIC模型云南省紧密型县域医共体下艾滋病协同防治机制研究
Mechanisms of coordinated HIV/AIDS prevention and treatment in close-Knit county-level medical communities in China:An SFIC model-based study
摘要
Abstract
Objective To explore the coordinated HIV/AIDS prevention and control mechanisms within a county medical community in District A of M City,Yunnan Province,to analyze problems and to propose improve-ments.Methods Using the SFIC model,case study and in-depth interviews were conducted to analyze the col-laborative governance of the county medical community in HIV/AIDS prevention and control in District A,M City,Yunnan Province,since May 2020.The interviewees include staff from various entities such as the Health Com-mission,the Center for Disease Control and Prevention,and designated medical institutions.Data analysis and field research were made to evaluate the effectiveness of collaborative prevention and control.Results There were challenges such as insufficient health awareness among patients,a heavy burden on designated medical institu-tions,and misalignment of the referral and performance appraisal mechanisms.Notable deficiencies existed partic-ularly in information flow,interagency cooperation,and performance incentive mechanism,which undermine the overall effectiveness of HIV/AIDS prevention and control.Conclusions It is critical to strengthen the leading and safeguarding role of government departments,and to optimize the referral for HIV/AIDS patients as well as per-formance appraisal mechanism so as to enhance the efficiency of collaborative prevention and control.The ultimate goal is to establish a regional"Five-in-One"collaborative prevention and control mechanism covering the full life-cycle,ensuring the sustainability and long-term effectiveness of HIV/AIDS prevention and control.关键词
传染性疾病/获得性免疫缺陷综合征/紧密型医共体/县域医共体/SFIC模型/协同治理Key words
Infectious diseases/HIV/AIDS/Close-knit medical community/County medical community/SFIC model/Collaborative governance分类
医药卫生引用本文复制引用
杜思娴,何嘉燕,戴荣彩,罗启莲,杨勇,刘亚清,许奕华,杨一青..基于SFIC模型云南省紧密型县域医共体下艾滋病协同防治机制研究[J].中国农村卫生事业管理,2026,46(4):268-275,8.基金项目
国家重点研究计划项目(2020YFC2006000) （2020YFC2006000）
教育部人文社科项目(21YJA630062) （21YJA630062）
云南省临床医学研究中心重大科技专项计划项目(202102AA310005) （202102AA310005）
临沧市科技创新团队培育项目(202304AC100001-TD06) （202304AC100001-TD06）
