重庆市肺结核患者就医选择影响因素的定性研究  

Qualitative study on factors influenced the choice behavior of TB patience for seeking health care in Chongqing

作　　者：陈涛[1] 唐晓君[1] 汪洋[1] 郭程[1] 刘晓雪[1] 张帆[1] 杨镜琳[1] Dustin Charles 

机构地区：[1]重庆医科大学公共卫生学院流行病教研室,400016 [2]美国耶鲁大学公共卫生学院

出　　处：《重庆医学》2010年第13期1715-1716,1719,共3页Chongqing medicine

基　　金：世界卫生组织(WHO)资助项目(WP/2008/CHN/06);耶鲁大学研究生合作项目

摘　　要：目的了解重庆市肺结核患者就医选择的现状,探讨影响重庆市肺结核患者就医选择的因素,为肺结核病的防治决策提供参考。方法采用定性研究的方法对结核病防治领域专家、结核病防治机构管理者进行关键人物访谈;对结核病防治专业机构的医护人员、肺结核患者进行个人深入访谈。结果经济条件差、结核病知识知晓率低、就诊机构的医疗水平有限、到就诊机构交通不便等是影响重庆市肺结核患者就医选择的主要因素。结论需要扩大医疗保险的覆盖率,加大对结核病防治医生的专业培训力度,还要针对重点人群,加强对结核病基本知识的宣传,从而提高结核病患者的就诊率。Objective To understand the choice behavior of TB patient for seeking health care providers in Chongqing, investi gate to find out factors influenced the choice behavior and provide reference for the decision making of TB control and prevention. Methods Qualitative investigation method is applied in this study. Key people, such as experts of TB control and supervisors of TB control and prevention institutes are interviewed; nurse and doctors of special agencies responsible for TB control, TB patients are interviewed individually. Results Main factors influenced the choice behavior of TB patients for seeking health care providers in Chongqing are poor economic condition, lack of knowledge of TB, limited medical capability of visited hospitals and poor transpor- tation service. Conclusion To improve the consultation rate of TB patients, it is needed to expand the coverage of medical insur- ance, strengthen the training of doctors for TB control, and enhance the propaganda of TB knowledge of.

关 键 词：肺结核 就医选择 影响因素 定性研究 

分 类 号：R521[医药卫生—内科学]