村医生对肺结核病人督导管理影响因素分析  

Supervision and management of tuberculosis patients by village doctors and its influential factors

作　　者：廖唐洪[1] 徐凌忠[1] 袁庆[1] 刘志敏[2] 程俊[2] 

机构地区：[1]山东大学公共卫生学院社会医学研究所,济南250012 [2]山东省结核病防治中心

出　　处：《中国公共卫生》2009年第12期1488-1490,共3页Chinese Journal of Public Health

基　　金：全球基金项目实施性研究课题(TB07-008)

摘　　要：目的了解村医生督导管理肺结核病人现状及影响因素。方法采用多阶段整群分层随机抽样方法选取样本,使用自制调查问卷于2007年11月对山东省部分乡镇村医生采取面对面方式进行访谈调查。结果36.80%村医生督导管理过肺结核病人,平均每名村医生督导1.53例病人,间隔10.80 d督导病人1次;不同性别(χ2=19.561)、年龄(χ2=53.666)、所学专业(χ2=43.925)、对现行督导管理费标准的看法(χ2=130.350)、对结核病人的态度(χ2=84.573)和结核病服务提供意愿(χ2=33.505)对村医生督导管理肺结核病人差异有统计学意义(P<0.05)。结论女性、年龄小、所学专业为临床医学、认为现行督导管理费标准合适或无所谓、歧视/疏远病人、不愿意为结核病人提供服务因素制约了村医生督导管理肺结核病人。Objective To learn the situation of supervision and management of pulmonary tuberculosis（TB） patients by village doctors and its influential factors.Methods The sample was randomly chosen with cluster-based sampling method and the subjects were interviewed with a self-made questionnaire.Results Among the village doctors,36.18 percent ever took supervision of TB patients.Averagely 1.53 TB patients were managed by one village doctor.The average interval of the supervision on TB petients of the village doctors was 10.80 days.There were siguificant differenes in factors influencing supervision on TB patients between village doctors of diffenrent gender（χ^2=19.561）,age（χ^2=53.666）,specialty（χ^2=43.925）,the attitude towards current reward standard of TB detection（χ^2=130.350）,the attitude towards TB patients（χ^2=84.573） and the desire of TB service provision（χ^2=33.505）.Conclusion The factors influencing the supervision on TB patients by village doctors are sex,age,specialty,the attitude towards current standard of TB management and TB patients and the desire of TB service provision among village doctors.

关 键 词：肺结核病 督导管理 村医生 

分 类 号：R52[医药卫生—内科学]