日本における，在日外国人ＨＩＶ感染者の医療状況と問題点

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  • A Consideration of the Current Medical Problems Facing Foreign HIV/AIDS Patients Residing in Japan
  • シャカイ ニホン ニ オケル ザイニチ ガイコクジン HIV カンセンシャ ノ イリョウ ジョウキョウ ト モンダイテン

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Objective: A system for patients living with HIV/AIDS (PLWHA) to receive quality treatment is being established, and regional differences in the quality of the care for Japanese PLWHA have narrowed. But because no special governmental policies are in place for foreign PLWHA living in Japan, they face many unresolved problems . In order to resolve the problems, we examined the situation of foreign PLWHA residing in Japan.<BR>Methods: We distributed a preliminary questionnaire to 364 area h o spitals specializing in AIDS treatment, followed by a more detailed questionnaire to the 117 hospitals which treated foreign PLWHA in the last 5 years.<BR>Results: Foreign PLWHA mainly reside in Kanto-Koshinetsu, Tokai and Kinki. The greatest number of PLWHA treated in hospitals in the last 5 years are Thai speakers, followed by Portuguese and English speakers. About 31% of the Thai, 42% of the English and 50% of the Portuguese speakers continued their treatment at the same hospital. However, about 38% of the Thai, 34% of the English and 25% of the Portuguese speakers went back to their country. 71% of the Thai speakers did not have health insurance. In contrast, only 18% of the Portuguese speakers lacked coverage. In the case of PLWHA without health insurance, a commonly reported problem was unsettled fees. An other major problem was the difficulty of communication in languages other than English.Discussion: To improve the effectiveness of medical services available to foreigners in Japan, we must consider the differences in the economic situation, health insurance coverage and cultural attitudes of each language group. Also to improve the quality of HIV/AIDS treatment, specialized medical interpreters are required.

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