肺结核病人未转诊到位原因的调查分析  

Investigation on the Failures in Referring the TB Patients

作　　者：况明亮[1] 郑寿贵[1] 王琴[1] 郑海鸥[1] 姚慧晶[1] 方海星[1] 

机构地区：[1]金华市金东区疾病预防控制中心,浙江金华321000

出　　处：《中国初级卫生保健》2007年第6期50-51,共2页Chinese Primary Health Care

摘　　要：目的调查分析医疗机构转诊肺结核病人未及时到结防机构诊治的原因。方法以调查表形式对金东区2003年医疗机构转诊和2004—2005年医疗机构网络直报未到位的肺结核病人进行问卷调查。结果194例转诊未到结防机构诊治的原因:与医院因素有关的为113例(58.25%),其中综合医院截留病人配药治疗(39.82%),其余依次为查无此人(23.89%)、地址不详(11.50%)、误诊(9.74%)、辖区外就诊(9.74%)、住院(5.31%);与病人自身因素有关的为81例(41.75%),其中包括死亡(25.93%)、民工迁出(17.28%)、年老治不治无所谓(13.58%)、经济困难(13.58%)等。结论肺结核病人未及时到结防机构诊治,由于病人自身原因占41.75%,医院原因占58.25%,主要原因是综合医院截留病人配药治疗。需强化措施,提高病人的到位率。OJECTIVE To investigate the reasons with leading to failures in referring TB patients from medical institutions to the TB institutions in time. METHODS A questionnaire is adopted to trace the TB patients who failed in being referred from medical institutions in 2003 and the unsuccessful cases reported by the internet-based reporting system between 2004-2005. RESULTS 194 cases were analyzed.There were 113 cases （58.25%） relating to the hospital in which 39.82% were retained to treat by general hospitals, Cases not found （23.89%）, unclear addresses （11.50%）, misdiagnosis （9.74%）, other areas （9.74%） and hospitalization（5.31%）. There were 81 cases （41.75%） relating to their own factors： death （25.93%）, floating population （17.28%）, careless attitude of old people （ 13.58% ）, financial problem （ 13.58% ） et al. CONCLUSION The failures in referring is 41.75% due to their own factors and 58.25% to the hospitals.The major cause lies in that the patients received treatment in the hospitals.Therefore, it is very important to strengthen the measure to enhance the arrival rate in TB institutioris.

关 键 词：肺结核 转诊 未到位原因 

分 类 号：R52[医药卫生—内科学]