3省项目(区)县流动人口肺结核患者补助措施效果评价

Assessing the effectiveness of subsidy measures on the adherence of tuberculosis patients to receive treatment among Chinese floating population

目的评价流动人口肺结核病患者补助措施提高治疗依从性的效果。方法在广东、山东和福建3个省中分别选择1个第五轮中国全球基金流动人口结核病防治项目的区(县)作为研究现场,在每个现场抽取接受交通和营养补助、只接受交通补助、无任何补助的新涂阳肺结核患者各25例,新涂阴肺结核患者各25例,总计为450例,对每例患者进行问卷调查。结果接受交通补助和营养补助组的疗程完成率为92.0%,只接受交通补助组的疗程完成率为90.7%,无任何补助组疗程完成率为78.0%,三组间比较存在统计学差异(P<0.01);接受交通补助和营养补助组的和只接受交通补助组的丢失率分别为1.3%和3.3%,无任何补助组的丢失率为8.0%,三组间比较存在统计学差异(P<0.05)。结论向患者提供交通和营养补助能提高患者治疗的依从性。

Objective To assess the effectiveness of subsidy measures aiming to improve the adherence of tuberculosis patients to receive treatment among Chinese floating population.Methods Three counties were selected as study sites from Guangdong,Shandong and Fujian that launched the 5th round of Global Fund floating population tuberculosis project.At each county,150 patients were chosen including 50 patients who received traffic and nutrition subsidies,50 patients who merely received traffic subsidies,50 patients who received no subsidies.In total,450 patients constituted the subjects of this study.Each group consisted of 25 new smear-positive patients and 25 new smear-negative tuberculosis patients.Every patient should be surveyed using a questionnaire.Results We found that patients who received traffic and nutrition subsidies（92.0%） and patients who only received traffic subsidies（90.7%）had higher treatment completion rate in six months than those who received no subsidies（78.0%）.Both of two groups（1.3% and 3.3% respectively） had lower default rate than patients receiving no subsidies（8.0%）.There were significant differences among three target populations.Conclusion Traffic and nutrition subsidies can raise the adherence of floating tuberculosis patients to receive treatment patients.