Responding to the HIV pandemic: The power of an academic medical partnership
Responding to the HIV pandemic: The power of an academic medical partnership
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DOI：
10.1097/acm.0b013e3180cc29f1
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发表时间：
2007-08-01
影响因子：
7.4
通讯作者：
Mamlin, Joseph J.
中科院分区：
文献类型：
--
作者：
Einterz, Robert M.;Kimaiyo, Sylvester;Mamlin, Joseph J.
学术医疗中心（AMC）在北美和发展中国家之间的伙伴关系是唯一能够满足护理，培训和研究的三方需求，以解决发展中国家的卫生保健危机。此外，AMC的机构资源和信誉可以为建立长期可持续的护理系统提供基础，即使在资源贫乏的环境中，作者描述了印第安纳州大学医学院与肯尼亚莫伊大学和莫伊教学和转诊医院之间的伙伴关系，这表明了学术医疗伙伴关系在应对撒哈拉以南非洲艾滋病毒/艾滋病流行方面的力量。通过预防和治疗艾滋病毒/艾滋病学术模式，该伙伴关系目前在肯尼亚西部19个城市和农村地区治疗了40 000多名艾滋病毒阳性患者，现在每月招收近2 000名新的艾滋病毒阳性患者，每周为30 000人提供食物，实现经济安全，促进艾滋病毒预防，检测25多名艾滋病毒感染者，该伙伴关系从一个规模有限、侧重于普通内科的项目发展成为撒哈拉以南非洲最大、最全面的艾滋病毒/艾滋病控制系统之一。伙伴关系的规模迅速扩大，加上对该区域的保健需求采取全面和长期的办法，提供了一个结对模式，可以而且应该加以推广，以解决发展中世界数百万人死于可预防和可治疗的疾病这一可耻的事实。
Partnerships between academic medical center (AMCs) in North America and the developing world are uniquely capable of fulfilling the tripartite needs of care, training, and research required to address health care crises in the developing world. Moreover, the institutional resources and credibility of AMCs can provide the foundation to build systems of care with long-term sustainability, even in resource-poor settings.The authors describe a partnership between Indiana University School of Medicine and Moi University and Moi Teaching and Referral Hospital in Kenya that demonstrates the power of an academic medical partnership in its response to the HIV/AIDS pandemic in sub-Saharan Africa. Through the Academic Model for the Prevention and Treatment of HIV/AIDS, the partnership currently treats over 40,000 HIV-positive patients at 19 urban and rural sites in western Kenya, now enrolls nearly 2,000 new HIV positive patients every month, feeds up to 30,000 people weekly, enables economic security, fosters HIV prevention, tests more than 25,000 pregnant women annually for HIV, engages communities, and is developing a robust electronic information system.The partnership evolved from a program of limited size and a focus on general internal medicine into one of the largest and most comprehensive HIV/AIDS-control systems in sub-Saharan Africa. The partnership's rapid increase in scale, combined with the comprehensive and long-term approach to the region's health care needs, provides a twinning model that can and should be replicated to address the shameful fact that millions are dying of preventable and treatable diseases in the developing world.