四川藏区疑似结核病人的社会经济学调查

SOCIO-ECONOMIC STUDY ON SUSPICIOUS PATIENTS AT THE TUBERCULOSIS CARE INSTITUTION IN TIBETAN COMMUNITIES OF SICHUAN PROVINCE.

目的:了解四川藏区疑似结核病人的相关社会经济学特征。方法:采用调查表进行面对面调查,对获得的相关信息进行描述性分析。结果:共调查160例结核病疑似病人,藏族占95.6%。2003年68.1%的疑似病人家庭人均现金收入低于当地农村居民当年人均纯收入,43.8%的疑似病人家庭医药费用支出超过当年家庭总收入的50%。76.9%的疑似病人在此次患病前不了解任何关于结核病症状的知识,52.5%不知道县里进行结核病诊断治疗的机构。疑似病人就诊延迟比例为52.5%,就诊延迟时间中位数为47 d。结核病疑似病人寻求结核病卫生服务过程中的困难主要有:经济困难;语言不通;不知道看病的地点;交通不便等。结论:应大力发展农牧区经济,建立农民医疗保障体系,普及结核病防治知识。

Objective： To understand the Socio-economic characters of suspicious patients of the tuberculosis care institution in Tibetan commtmity of Sichuan province. Methods： Tiffs study was carried out through questionnaire, and the concemed information was described. Results： 161 suspicious tuberculosis patients were investigated, 95.6% of which was Tibetan nationality. About 68.1% of the patients the annual average income per family member was lower than that of local family member at the same site in 2003, and about 43.8 % of them the medicinal expenditure of family in 2003 was more than the 50% of the family income at the same year. 76.9% of suspicious patients did not know anything about the syndrome of tuberculosis, and 52.5% did not know the place where tuberculosis can be diagnosed and treated, The proportion of patient＇s delay was 52.5%, and the median time of delay was 47 days. Tiaere were some difficulties during seeking the tuberculesis health services, which were poor economy condition, language barrier, unknowing the tuberculosis care institution and the traffic inconvenience. Conclusion： Some measures should be taken to improve the tuberculosis control program that developing economy in Tibetan community, setting up rural medical indemnity system, and popularizing the knowledge about tuberculosis.