期刊文献+

上海市闵行区肺结核患者卫生服务需要与利用情况分析 被引量:4

Analysis of needs and utilization of health services in patients with pulmonary tuberculosis in Minhang district,Shanghai
下载PDF
导出
摘要 目的分析上海市闵行区肺结核患者卫生服务需要与利用情况,评价卫生服务利用的影响因素。方法上海市闵行区2010年共建立1 286 830份电子健康档案,其中749例登记肺结核专档。以这749例肺结核患者和其中502例已治愈患者作为研究对象,分析其流行病学和疾病管理、卫生服务需要与利用情况,并针对肺结核患者卫生服务利用情况进行单因素和多因素logistic回归分析。结果2010年上海市闵行区建档人群的肺结核患病率为58.21/10万,活动性肺结核(菌阳)患病率为30.62/10万,慢性病患病率为51.54%(386/749)。其中,治愈和满疗程的502例患者的人均就诊次数、检测检验次数和受访视次数分别为2.74、9.02和5.47次。年龄在65岁以上(β值=-2.513,Waldχ2值=0.508,P值=0.000,OR(95.0%CI)值=0.081(0.030~0.219))、因肺结核和其他慢性病就诊(β值=-3.987,Waldχ2值=0.458,P值=0.000,OR(95.0%CI)值=0.136(0.047~0.491))使得肺结核患者就诊次数增加。结论上海市闵行区肺结核患者对区域卫生服务需要量较高,利用率较低。肺结核患者的防控工作要针对不同人群开展针对性的防治措施,掌握他们的卫生服务需要,提高其卫生服务利用水平。 Objective To analyze the needs and utilization of health service in patients with pulmonary tuberculosis in Minhang district of Shanghai city,and evaluate the factors influencing the utilization of health service. Methods In 2010,a total of 1 286 830 copies of electronic health records were established in Minhang district,of which 749 were records specially for registered pulmonary tuberculosis.These 749 pulmonary tuberculosis cases and 502 patients among them which have been cured were taken as research subjects to analyze their epidemiological and management information,the needs and utilization of health service for tuberculosis patients.Univariate and multivariate logistic regression analysis was made to analyze the factors affecting their health service utilization. Results Among the filing population in Minhang district in 2010,the prevalence of pulmonary tuberculosis was 58.21/100 000,the prevalence of active pulmonary TB(sputum positive) was 30.62/100 000,and the prevalence of chro-nic diseases was 51.54%(386/749).Among the 502 cases who have been cured or have completed the full-course treatment,the frequency of clinic visits,laboratory examinations,and DOT supervisions in terms of times were 2.74,9.02 and 5.47 times respectively.Patients older than 65 years(β=-2.513,Wald χ2=0.508,P=0.000,OR(95.0%CI)=0.081(0.030~0.219)),with pulmonary tuberculosis and other chronic diseases(β=-3.987,Wald χ2=0.458,P=0.000,OR(95.0% CI)=0.136(0.047~0.491)) are more likely to increase the frequency of clinic visits. Conclusion The patients with pulmonary tuberculosis in Minhang district have a high requirement for health services,however,the utilization is adversely low.We should carry out targeted prevention measures for different groups of people,grasp their needs of health service,and improve their health services utilization.
出处 《中国防痨杂志》 CAS 2012年第5期293-298,共6页 Chinese Journal of Antituberculosis
基金 "十一五"国家科技重大专项(2009ZX10003-017)
关键词 结核 卫生服务需求 卫生服务使用研究 上海市 Tuberculosis pulmonary Health services needs and demand Marketing of health services Shanghai city
  • 相关文献

参考文献12

  • 1上海市闵行区地方志编纂委员会办公室.以居民电子健康档案为核心,推动区域医疗卫生信息化[EB/OL].[2010-01-01]. http://www, shrub, gov. cn/mhgl nj details, aspx? NJID= 2044 &CatalogID= 13724&ContentID= 78979.
  • 2上海市卫生局.2010年上海市卫生数据[EB/OL].[2011-05-26]. http..//www, smhb. gov. cn/website/b/62348, shtml.
  • 3第四次国家卫生服务调查主要结果.卫生部统计信息中心.中国社会统计年鉴(2009)北京:中国统计出版社,2010:401-404.
  • 4陈青.“上海版”医改十项重点:工作看点解读[EB/OL].[2011-03-17]. http://news. Xinhuanet. corn/observation/2011-03/ 17/c_121196856 3. htm.
  • 5王继江,刘兆兰,王伟炳,付朝伟,徐飚.上海市2型糖尿病门诊患者疾病成本研究[J].中国卫生资源,2008,11(3):127-129. 被引量:9
  • 6李静,陈琦,关静,杨兴华,梁万年.全国社区卫生服务现状调查——东、中、西部地区社区卫生服务机构三种常见慢性病管理情况分析[J].中国全科医学,2005,8(19):1565-1567. 被引量:22
  • 7廖唐洪,袁庆,徐凌忠,张华,王银发,翟向明,刘志敏,程俊.山东省肺结核病人督导治疗现状调查[J].中国公共卫生,2009,25(6):657-658. 被引量:2
  • 8钟节鸣,陈松华,陈彬.结核病DOTS实施质量调查[J].浙江预防医学,2011,23(1):87-88. 被引量:3
  • 9国务院办公厅.国务院办公厅关于印发全国肺结核防治规划(2001--2010年)的通知[EB/OL].[2001-10-13].http://www. gov. cn/gongbao/content/2001/content_61160, htm.
  • 10上海市人民政府办公厅.上海市人民政府办公厅关于印发上海市肺结核防治规划(2003年20lO年)的通知[EB/OL].[2003-11-11]. http=//www, sh. gov. cn/shanghai/node2314/ node2319/node11494/node123gl/node12343/node12660/user- objectg6aill61, html.

二级参考文献35

共引文献32

同被引文献14

引证文献4

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部