蚌埠市辖区2010～2013年网络直报肺结核病例追踪未到位影响因素分析

Analysis on Influencing Factors of Tracking Failure among Reported Pulmonary Tuberculosis Cases from 2010 to 2013 in Bengbu,Anhui

目的：探讨蚌埠市辖区非结核病防治机构（非结防机构）网络直报肺结核病例追踪未到位原因及其影响因素,为有关部门制订政策提供科学依据。方法：收集结核病管理信息系统2010~2013年蚌埠市辖区非结防机构网络直报肺结核病例数据,使用描述性分析、χ2检验和logistic回归分析对数据进行分析。结果 2010~2013年蚌埠市辖区非结防机构网络报告肺结核1329例,转诊到位451例,转诊到位率33.9%;追踪到位570例,追踪到位率为64.3%;总体到位1026例,总体到位率为77.2%。追踪未到位的主要原因是出院未转诊（31.0%）、拒诊（10.8%）、外出（6.3%）等。对未到位患者的影响因素进行多因素分析,结果显示年龄、职业、报告单位等是其影响因素。结论：督促非结防机构加强对患者的健康教育、做好医防沟通联络和多次、多形式追踪等措施是提高患者到位的关键。

Objective To analyze the causes and influencing factors of tracking failure among reported pulmonary tuberculosis （TB） cases from 2010 to 2013 in Bengbu, so as to provide a scientific basis for decision-makers to develop targeting policies. Meth- ods Data used for this study are collected from TB cases reporting system of Bengbu city from 2010 to 2013, and descriptive analy- sis, chi-square test and logistic regression analysis were employed to analyze the data. Results A total of 1329 TB cases were includ- ed in the analysis. Among which,451 （33.9%） cases were referred to local TB dispensaries ,570 cases were tracked and referred, and a total of 1026（77.2% ） cases were referred to TB dispensaries. The causes of tracking failure sites（6.3% ） ,etc. The muhiva- riate logistic regression analysis shows that factors affect tracing failure are： failure of referral to TB dispensaries （31.0% ）, refusing TB health services （ 10.8% ） and leaving local including age, occupation, reporting organizations. Conclusion To strengthen the patients＇ TB-related health education among non-TB health organizations, enhance the cooperation between non-TB health organiza- tions and TB dispensaries, track TB patients by multiple ways are the critical measures to improve TB case referral.