影响肺结核疑似病人就诊因素分析

The analysis of factors affecting seek medical advice of suspect pulmonary TB cases

目的 提高疑似病人就诊率 ,实现项目高发现率目标。方法 对不同类型县 (市 )资料进行对比分析 ,探讨影响病人求医的因素。结果 全省各县 (市 )平均最大服务半径 46.7公里 ,就诊率 1 .48‰ ,其中国家级、省级贫困县 (市 )和山区县 (市 )最大服务半径、疑似病人就诊率分别为 60 .6公里、1 .41‰ ,46.7公里、1 .66‰和 57.4公里、1 .55‰。在加强项目宣传、培训的前提下 ,经济等因素对病人的求医影响不大。结论 应采取综合措施强化病人的求医行为 ,项目实施期间 ,应加强结核病的宣传教育 ,落实项目免费与减免政策 ,增设定诊或巡回点 ,贯彻落实结核病归口管理。

Objective To increase the rate of seeking medical care by suspected TB cases, to achieve the project goal of “high detection rate'.Methods Comparison and analysis of various factors affecting patients seeking medical help in various counties/cities.Results The provincial maximum average service radius is 46.7km,rate of seeking medical care is 1.66%;the maximum service radiuses and the rate of seeking medical care by suspected patients for poor counties/cities at national level,that at provinical level and mountainous counties/cities are 60.6km,1.41‰;46.7km,1.48%;and 57.4km,1.55‰,respectively.It is indicated that factors such as economy do not have much influence on medical care seeking behavior with strengthened education and training.Conclusion Comprehensive measures should be taken to improve medica care seeking behavior.Publicity and education on TB should be conducted during project implementation;policies on free or proper reduction in charge for diagnosis and treatment are carried out;more assigned centers or mobile teams should be established and patients placed in assigned hospitals for treatment and control.