急診患者愛滋篩檢服務試辦計畫成效分析

Effectiveness Analysis on Pilot Program for HIV Screening Test and Consultation Service for Patients Visiting the Emergency Rooms in Taiwan

蔡美倫(May-Lun Tsai) ； 賴安琪(An-Chi Lai) ； 黃彥芳(Yen-Fang Huang) ； 楊靖慧(Chin-Hui Yung) ； 高振峰(Cheng-Feng Kao) ； 楊志元(Jyh-Yuan Yang)

《疫情報導》 28卷23期 (2012/12) Pp. 331-339+372-377

https://doi.org/10.6524/EB.201212_28(23).0001

摘要

為了解我國是否適合於急診室推行例行性愛滋篩檢服務，本局於2010年9月1日至2010年12月31日於國立成功大學醫學院附設醫院、奇美醫療財團法人奇美醫院、財團法人馬偕紀念醫院新竹分院、行政院國軍退除役官兵輔導委員會高雄榮民總醫院、行政院衛生署桃園醫院辦理「急診患者愛滋篩檢服務試辦計畫」，此計畫共計篩檢8,646人，發現HIV陽性新感染患者3人，篩檢陽性率為0.035％，相當於我國一般民眾愛滋篩檢陽性率，經評估，臺灣於急診實施愛滋之篩檢效益目前低於國外文獻資料，故我國於急診室推動例行性愛滋篩檢不具成本效益。

關鍵字

急診 ； 愛滋篩檢

並列摘要

In order to understand whether it is appropriate to extend HIV screening program to the sites of emergency rooms, the Taiwan CDC conducted a Pilot Program for HIV Screening Test and Consultation Service for Patients Visiting the Emergency Rooms at five hospitals, including the National Cheng Kung University Hospital, Chi Mei Hospital, Mackay Memorial Hospital in HsinChu, Kaohsiung Veterans General Hospital, and TaoYuan General Hospital of the Department of Health, during September 1, 2010 - December 31, 2010. A total of 8,646 patients visiting the emergency rooms agreed to participate in the screening program, and three new HIV-positive cases were identified, with a positive rate of 0.035%, which is equivalent to that from screening test for general population. The analysis shows that the effectiveness of screening test conducted at emergency rooms in Taiwan was lower than those documented in literatures. Therefore, a routine HIV screening test at hospital emergency rooms in Taiwan is not cost-effective.

並列關鍵字

emergency room ； HIV screening