摘要
目的了解安徽省医疗机构结核病人诊疗情况和转诊工作,为今后制定相关政策提供依据。方法根据地理结构,选择萧县、定远县、肥西县、贵池区等4个县(区)开展此项工作,能基本上反映出安徽省的情况。对2008年4月1日至9月30日期间非结防机构网络报告的并到专科门诊就诊的所有肺结核病人逐个进行《非结防机构网络报告肺结核病人转诊到位前的诊疗情况个案调查表》问卷调查。结果83.4%的肺结核病人有症状时,首选综合医院和乡镇卫生院;有90.8%的病人进行了转诊;在其他医疗机构诊疗人均花费1 422元;仅有14.9%的做过痰涂片检查;调查对象身体正常时人均年收入5 056元,患病后年收入为2 479元。结论医疗机构对结核病病人的转诊较好,但病人在转诊前诊疗的花费较大,可能会影响病人进一步接受规范治疗的依从性。
Objective To investigate the situation of diagnosis and treatment and referral of tuberculosis patients in non-tuberculosis control institutions in Anhui Province, and to provide scientific evidence for the development of future referral policies. Methods According to the geographic structure, Xiao county, Dingyuan county, Feixi county and Guichi district were chosen as the study site for those place can basically reflect the situation in Anhui Province. A questionnaire survey of the situation of diagnosis and treatment of tuberculosis patients reported on internet before referral in place was conducted to the tuberculosis patients who were reported on internet and treated in special TB clinic during April 1 to September 30, 2008. Results 83.4% of tuberculosis patients preferred a general hospital and/or township health centers when they had symptoms. 90.8% was referred. The patients treated in other medical facilities had spent 1 422 Yuan per capita. Only 14.9% of patients had accepted the sputum smears test. 69.7% had patient delay. The annual income was about 5 056 Yuan and 2 479 Yuan per capita before and after they got sick. Conclusions The situation of referral of TB patients in non-tuberculosis prevention and control institutions is good. However, patients spent so much during the treatment and a larger decline in income happens after the sick, which may affect the further treatment compliance.
出处
《中国防痨杂志》
CAS
2009年第10期583-585,共3页
Chinese Journal of Antituberculosis
关键词
结核
肺/诊断
结核
肺/经济学
转诊和会诊
计算机通信网络
安徽省
tuberculosis, pulmonary/diagnosis
tuberculosis, pulmonary/economics
referral and consultation
computer communication networks
Anhui province
