结核病疑似患者发现延迟影响因素分析

Why Detection of Patients with TB Is Delayed

目的了解影响我国重庆地区结核疑似患者就诊延迟与确诊延迟程度,探索发现延迟的影响因素。方法对1005名结核病疑似患者采用问卷调查。结果结核疑似患者在寻求卫生服务的过程中就诊延迟现象严重,性别、就业、医保、自我医疗、结核病认知是影响结核病疑似患者及时就诊的因素(P<0.05),医务工作者的医疗行为等因素也与延迟的发生有关。结论结核病疑似患者就诊、确诊延迟严重,有必要扩大医疗保险覆盖率,加大结核病控制策略的健康教育力度,探索私人医疗机构与结核病防治机构的合作关系。

Objective To investigate the reasons of delay of medical attention for patients with TB in Chongqing. Methods A questionnaire survey was carried out in 1005 patients with suspected TB. Results Serious delay on seeking medical help was common in the patients with suspected TB. Sex, employment, health insurance, average income, self-treatment, TB related knowledge, and the behavior of medical practitioners were associated with the delay. Conclusion Extended coverage of health insurance and improved health education on TB control strategies are needed to reduce the serious delay of TB detection. Collaborations between private medical institutions and TB control centers are also necessary.