摘要
目的分析上海市静安区结核病防制工作现状及基层卫生服务在防制工作中存在的问题及影响因素,为我区肺结核预防与控制提供参考。方法对静安区肺结核病人的社区化疗管理医生及临床医生进行小组深入访谈。结果社区医生对肺结核病人的家访传染性有很大的顾虑,而且没有相应的补偿机制,我区定点医院客观条件的限制对我区的肺结核病人的诊治产生了不利的影响,肺结核病人的经济条件、文化水平等也影响我区肺结核病的治疗管理效果。涂阳肺结核病人的管理也是防治工作中的关键问题之一。结论应重视社区化疗管理医生和定点医院在我区肺结核病防制中的作用,妥善解决社区医生医疗防护问题及经费问题,加强培训力度,对贫困患者提供必需的补助,改善就医环境,政策保障到位是提高结核病防制效果的重要措施。
OBJECTIVE To analyze the current situation and the problems and influencing factors of TB control in Jing＇an District.METHODS Doctors were interviewed by focus group discussion.Qualitative data summarized by the stepwise method of classification analysis.RESULTS The economic conditions,educational level,cognitive knowledge of TB are associated with treatment.The management of smear positive pulmonary tuberculosis patients is one of the key issues in the prevention and treatment.The medical conditions of the designated hospitals for treatment of TB are limited.CONCLUSION Suggestions and play the role of doctors fully in the supervision and management to improve patients＇ compliance and ensure the completion of treatment.An effective system of medical care insurance for the poverty population should be established.The medical protection and supervision incentives of management of doctors should be improved.The TB health education should be strengthened.The professional training of doctors should be strengthened.
出处
《中国初级卫生保健》
2012年第4期54-56,共3页
Chinese Primary Health Care
关键词
肺结核病
临床医生
定性研究
pulmonary tuberculosis
clinic doctors
qualitative study
