艾滋病(Acquired immunodeficiency syndrome,AIDS)已成为全人类最具毁灭性的疾病。虽然全国各地都积极地落实“四免一关怀”政策,但是针对进入抗病毒治疗阶段的AIDS病人,目前尚无统一的管理模式,造成各地抗病毒治疗病人随访不规范。由此造成病人服药不规范,随访不及时,服药依从性差,最终导致耐药,同时也造成有限的医疗资源浪费。 Acquired immunodeficiency syndrome (AIDS) has become the most devastating disease of all humankind. Although the “Four Frees and One Care” policy has been actively implemented throughout the country, there is no unified management model for AIDS patients entering the anti-virus treatment phase, resulting in non-standard follow-up of anti-virus treatment patients in various places. The resulting non-standard patient medication, follow-up is not timely, medication compliance is poor, eventually leading to drug resistance, but also result in limited medical resources waste.