江苏省农村结核病诊断与治疗可及性影响因素的定性研究

A Qualitative Studv of Access to Tuberculosis (TB) Diaenosis and treatment In Rural Jianssu Province

目的 研究江苏省北部农村地区结核病诊断和治疗可及性的影响因素。方法 通过小组访谈和深入访谈的方法,以江苏省北部某县3个乡的部分结防医生、村卫生工作者和肺结核病人为研究对象,从结核病诊断和治疗的个人就医行为、医疗卫生服务质量和结核病防治政策等方面来探讨影响农村病人获得结核病诊断和治疗的因素。结果 经济条件差的人群和老年人群是不能及时获得结核病诊断和治疗的高危人群。医疗质量,药品管理及医患关系同样也是影响结核病诊断和治疗可及性的重要因素。

OBJECTIVE To study the risk factors in access to TB diagnosis and treatment in rural Jiangsu Province. METHOD The subjects of the study were town and township hospital doctors, village health workers and TO patients.9 Focus group discussions and 12 in-depth interviews were given to reflect the relationship between the individual health-seeking behaviors,quality of health services,health policy and the access to TB diagnosis and treatment.Categorical and grounded analyses were used to describe the results. Low income population, aged people were the high risk population of poor access to TO diagnosis and treatment. Quality of healthcare service, management of anti-TB drugs and the relationship between diagnosis and treatment providers and patients were closely associated with the access to TB diagnosis and treatment.