中国结核病控制项目社会评价试点研究  

Pilot study of social assessment on China TB control project

作　　者：何广学[1] 于兰[1] 周林[1] 刘剑君[1] 成诗明[1] 赵丰曾[1] 邹级谦[1] 张本[2] 王雪静[2] 

机构地区：[1]中国疾病预防控制中心结核病预防控制中心,北京100050 [2]卫生部国外贷款项目办公室

出　　处：《中国公共卫生》2006年第1期45-46,共2页Chinese Journal of Public Health

基　　金：世界银行贷款/英国赠款(WB/DFID)中国结核病控制项目;中国结核病实施性研究课题

摘　　要：目的明确社区居民以及医疗服务提供者掌握的肺结核相关知识;了解肺结核病患者和可疑症状者的就诊途径;了解肺结核归口管理存在的问题。方法采用个人访谈、观察、专题小组访谈、问卷调查等定性研究和定量研究相结合的方法,抽取结核病患病率高、病人发现率低的3个贫困县,每个县选择2个乡镇,每个乡镇选择2个村进行调查。结果在贫困、边远和不发达地区,经济困难、文化落后给贫困群体带来的对疾病整体认知低下;女性、老年人是就诊的弱势群体;社区居民因症就诊的经济负担很高;结核病防治人力明显不足;预防和治疗机构之间缺乏协调。结论要提高结核病人的发现率及结核病患者治疗管理质量,需要开展适用于不同人群,多种形式相结合的结核病知识健康促进活动,提高医疗服务接受者对结核病的认知;开展不同形式的结核病防治知识培训,提高医疗服务提供者的结核病防治水平。Objective To explore the awareness of TB among general public and health provider, the care-seeking pathway of TB patients and suspects, and problems existing in the current referral management. Methods Qualitative（indlvidual interview, observation, and focus group discussion）and quantitative （questionnaire survey） methods in selected 2 villages out of 2 townships of 3 poverty counties with high TB prevalence but low case detection. Results In the remote poor and underdeveloped areas, financial difficulty and underdeveloped education resulted in low awareness of TB knowledge, esp. women and the elder. Community people had high financial burden for care-seeking. Lack of capacity in TB control team and coordination between medical system and disease prevention system was apparent. Conclusion It＇s necessary to increase case detection and quality of treatment and management with the demand of various kinds of health promotion activities targeted to different people and quality training for TB staff.

关 键 词：肺结核病 社会评价 健康促进 

分 类 号：R1[医药卫生—公共卫生与预防医学]