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目的了解男男性行为者(MSM)的就医环境要求。方法采用自拟的贯穿就医全过程的知情同意问卷,由MSM匿名填写后进行统计分析。结果146名参加调查者均有同性性行为。74.6%的人选择正规的医院就诊,98.7%的人对门诊标志持认同态度,63.0%的人希望男医生接诊。希望医生仔细问诊的占64.4%,仔细查体的74.0%,全面化验检查的73.3%,执行国家推荐治疗方案的52.1%。56.8%的人希望总治疗费用低于500元,500~1 000元表示能够接受的占35.6%。21.2%的人认为有接受心理辅导的需求,58.9%赞同设立交流电话等形式进行疾病预防的宣传,90.4%的人愿意在心理困惑时到医院设立的心理辅导室接受服务。结论公立医院的实际情况与MSM人群的需求相近,有条件开展人群的专业服务。医院在开设相应服务时应将心理支持、辅导纳入其中。
Objective To understand the MSM medical environment requirements. Methods The self-designed informed consent questionnaire was used throughout the entire process of medical treatment. The data was analyzed anonymously by MSM. Results The 146 participants surveyed all had sex. 74.6% of the respondents chose to visit a regular hospital. 98.7% of the respondents agreed with the outpatient logo. 63.0% wanted a male doctor. It is hoped that the doctors will take care of 64.4% of the patients, 74.0% of the patients, 73.3% of the total laboratory tests, and 52.1% of the country’s recommended treatment plans. 56.8% of people hope that the total cost of treatment will be less than 500 yuan, and 500 to 1 000 yuan will represent 35.6% of the total. 21.2% thought that there was a need for psychological counseling, 58.9% agreed with the establishment of an exchange call and other forms of propaganda for disease prevention, and 90.4% were willing to go to a psychological counseling room set up by the hospital to receive services during psychological distress. Conclusion The actual situation of public hospitals is similar to that of the MSM population, and it is possible to carry out professional services for the population. The hospital should include psychological support and counseling when opening corresponding services.