“12·1世界艾滋病日”临近，艾滋病人的“看病难”再次浮出水面。11月28日，家住南昌市洪城路的艾滋病毒携带者晓君说，控制艾滋病的药物国家免费发放，如果再患上其他疾病，很难找到医院收治，她已习惯被拒绝。

"12 · 1 world AIDS day"near,AIDS people"See a doctor difficult"Again surface.On November 28,,Nanchang road in HongCheng AIDS virus carriers XiaoJun said,Control of HIV/AIDS drugs for free country,If you suffer from other diseases,It is difficult to find the hospital patients,She has used to be refused.

　　记者在南昌市各大医院采访发现，虽然艾滋病人就医被歧视由来已久，但南昌依然有医院和医护人员一如既往地为艾滋病人提供方便。专家称，如果不能提高传染病医院的综合诊疗能力，艾滋病人“看病难”就难以从根本上解决。

Reporter in the interview found that nanchang hospital,Although the AIDS people go to a doctor has been discriminated against,But the nanchang still have hospitals and medical personnel, as always, provide convenience for AIDS.Experts say,If you can't improve the diagnosis and treatment of the infectious disease hospital comprehensive ability,AIDS people"See a doctor difficult"It will be difficult to fundamentally solve.

医生总能找到拒绝的理由 The doctor can always find reasons for refusing

　　虽然事情过去了两年多，来自抚州市的晓玲女士对在南昌的遭遇记忆犹新：“我是艾滋病受害者，可是我们也有看病的权利，医院想方设法拒绝我，很伤人。”

Although things in the past two years,Fuzhou city from the XiaoLing lady in the nanchang encounter fresh:"I am AIDS victims,But we also have the right to see a doctor,Hospital trying to turn me down,Very hurt."

　　2009年，晓玲女士被查出罹患乳腺癌，慕名来到南昌市一家综合性医院看病。就在医院做好术前准备时，晓玲出于提醒医护人员注意安全的角度，主动向医生说出她是艾滋病毒携带者，让她没想到，一句实话，会让手术无限期“推迟”。无奈的晓玲只好找到南昌市卫生局求援。

In 2009,,XiaoLing lady was found suffering from breast cancer,Nanchang traveled to a comprehensive hospital.In the hospital when to prepare for,XiaoLing for remind medical personnel pay attention to safety point of view,The initiative to doctors say she is the AIDS virus carriers,Let her thought,A truth,Will make surgery indefinitely"delay".But XiaoLing had to find the nanchang city health bureau for help.

　　两天后，医院负责人向卫生局回复表示：“经过医院专家组会诊研究，病人当前情况不符合手术指征……”晓玲只得卷铺盖出院，去外地一家大医院才把手术完成，这一段经历让她再也不敢来南昌看病。

Two days later,The hospital to the health bureau said reply:"After the hospital expert group consultation research,The patient the current situation is not in conformity with the surgical indications..."XiaoLing had to pack up and discharge,Go abroad to a big hospital to complete the operation,This experience let she dare not see a doctor to nanchang.

　　“有的综合性医院叫病人去定点医院，有的干脆说他们治不了你的病。”据南昌市疾控中心艾防科科长徐丹说，医院拒绝艾滋病人的理由千奇百怪，刚开始南昌市疾控中心还能帮着联系一些医院，但是次数多了，哪怕是医护人员没意见，医院都会给医生施加压力，艾滋病人本身就是敏感人群，“就医歧视”让他们雪上加霜。

"Some comprehensive hospital make a patient to fixed-point hospital,Some simply say they can't cure your disease."According to the centers for disease control and prevention nanchang ai superintendent of XuDan said,Hospital refused to AIDS people reason all sorts of strange things,Just began to nanchang city CDC can also help to contact some hospitals,But more often,Even the medical staff have no opinion,The hospital will give the doctor put pressure on,AIDS people itself is sensitive crowd,"Doctor discrimination"Let them down.

　医护人员对艾滋病过度恐惧 Medical personnel to AIDS excessive fear

　　早在2006年，国务院颁布的《艾滋病防治条例》第41条规定：“医疗机构不得因就诊的病人是艾滋病病毒感染者或者艾滋病病人，推诿或者拒绝对其其他疾病进行治疗。”但是，南昌严格遵守这条规定的医院并不多。

As early as in 2006,Issued by the state council[Regulations on AIDS prevention and control]Provisions of article 41:"Medical institutions must not see a doctor because patients infected with the virus that causes AIDS or HIV/AIDS patients,Shuffle or refuse to the other disease treatment."but,Nanchang strictly abide by the provisions of article this hospital is not much.

　　“不要说有一定难度的手术了，就连最普通不过的阑尾炎、外伤清创缝合、骨折复位这样的小手术，都经常遭遇软拒绝。”徐丹说，曾有一名需要做胆囊炎手术的病人，在南昌连续遭到三家三甲医院的拒绝，都建议他去定点医院。

"Don't say has the certain difficulty of the surgery,Even the most ordinary but of appendicitis/Trauma debridement suture/The fracture such small operation,Often encounter soft refused."XuDan said,Once there is a need to do cholecystitis surgery,In nanchang continuous were three 3 armour hospital refused,All advised him to fixed-point hospital.

　　“艾滋病抗病毒定点医院”可以解决这些难题吗？艾滋病抗病毒医院只能控制艾滋病，却往往没有能力综合救治。以定点的南昌市传染病医院第九医院为例，它的主要方向是肝病，几乎没什么外科，也没有产科，女艾滋病人生孩子都没办法接。

"AIDS antiviral fixed-point hospital"Can solve these problems?AIDS antiviral hospital can only control AIDS,But often have no ability to comprehensive treatment.Nanchang to fixed-point infectious disease hospital ninth hospital as an example,It is the main direction of liver disease,Almost nothing surgery,No maternity,Female AIDS life children are not able to take.

　　记者在南昌各大三甲医院采访了解到，医护人员对艾滋病过度恐惧是造成艾滋病人被拒绝的主要原因，哪怕是接受艾滋病人做得好的医院，都向记者提出不要公开他们医院和科室的名称。

Reporter in the nanchang each big 3 armour hospital interview to understand,Medical staff of AIDS is caused by the excessive fear HIV/AIDS were the main cause of refuse,Even if is to accept AIDS people a good hospital,Are put forward to reporters don't open their hospital and the name of the department.

　　最近一项调查显示，91.9%的护士担心护理艾滋病感染者会使自己感染艾滋病毒；64%的医生相信他们有权利决定是否为艾滋病感染者实施治疗。

A recent survey showed,91.9% of the nurse worry about nursing people infected with HIV will make you infected with the virus that causes AIDS;64% of the doctors believe they have a right to decide whether to implement for people infected with HIV treatment.

　呼唤一站式综合诊疗模式 Call one-stop integrated diagnosis and treatment mode

　　“只要做好防护就没问题，我们一年内为艾滋病人做过多次手术。”28日下午，南昌市井冈山大道一家大医院泌尿外科手术室负责人表示，他们不拒绝为艾滋病人做手术，但术前会去疾控部门借来预防职业暴露的齐多夫定或者拉米夫定药物，一旦术中医护人员有创伤，可以立即使用药物以确保安全，“前后准备确实要麻烦一些”。

"As long as do protection is no problem,Within one year we for AIDS people made many surgery."28 afternoon,Nanchang jinggang avenue a big hospital urinary surgery person in charge said,They do not refuse to do surgery for AIDS,But preoperative will go to disease control department borrowed prevent occupational exposures zidovudine or lamivudine drug,Once during the operation, the medical staff have trauma,Can immediate use drugs to ensure safety,"Ready to do before and after some trouble".

　　采访中，南昌一家三甲医院负责人解释为何婉拒艾滋病人时说，他们是在更好保护其他病人，感染者会对同在医院看病、住院的其他患者产生“不良影响”；综合医院不具备隔离、手术器械等传染病收治条件，消毒成本会增加。

interview,Nanchang a 3 armour hospital chief explain why decline AIDS person say,They are in better protection other patients,Infections with to hospital/The hospital patients with other produce"Bad influence";General hospital does not have isolation/Surgical instruments, etc were infectious disease conditions,Disinfection cost will increase.

　　徐丹认为，艾滋病的传播途径只有性、血液、母婴三种途径，其毒性也不比肝炎等更厉害，健康人只有在与携带者发生体液血液交换的时候，才有可能被感染。要彻底改变目前艾滋病毒感染者就医难的困境，要加大宣传和引导力度，让全社会走出对艾滋病的认识误区。

XuDan think,The spread of AIDS way is sex/blood/Maternal and child three ways,The toxicity and worse than hepatitis etc,Only healthy in body fluids with carriers happen when blood exchange,Can be infected.Thoroughly change the present HIV infected people go to a doctor difficult dilemma,To increase the propaganda dynamics and guide,Let the whole society to AIDS out of misunderstanding.

　　“艾滋病人看病习惯被拒绝是医务工作者的悲哀，我省可借鉴上海综合诊疗模式的做法，加强传染病医院综合救治能力建设。”省社科院社会学研究所所长马雪松说，上海在全国首创艾滋病“一站式”综合诊疗模式，为病人提供包括口腔科、内外科、妇产科等多学科协作专业门诊，解决了艾滋病人求医无门难题，提高了他们的生存质量。（记者 张绪鸿）

"AIDS the patients used to be refused to medical workers is sad,Can be used for reference in our province Shanghai comprehensive diagnosis and treatment practice mode,Strengthen the infectious disease hospital comprehensive treatment ability construction."Provincial academy of sociology institute director MaXueSong said,Shanghai in the national first AIDS"one-stop"Comprehensive diagnosis and treatment mode,Provide the patients including department of stomatology/department/Department of gynaecology and obstetrics and multidisciplinary cooperation professional outpatient service,To solve the problem of AIDS not healed,To improve their quality of life.(Reporter ZhangXuHong)