流动肺结核病人对结核病优惠政策满意度分析  

Satisfaction to preferential policies of TB control among tuberculosis patients in floating population

作　　者：耿红[1] 甄延城[2] 徐凌忠[2] 周成超[2] 刘志敏[1] 滕岳[2] 孙龙[2] 

机构地区：[1]山东省结核病防治中心,济南250001 [2]山东大学公共卫生学院社会医学与卫生事业管理研究所

出　　处：《中国公共卫生》2010年第8期975-976,共2页Chinese Journal of Public Health

基　　金：全球基金项目实施性研究课题(TB08-004)

摘　　要：目的了解山东省流动人口肺结核病人对结核病优惠政策满意程度及影响因素。方法采用分层随机抽样,共抽取山东省7个地市12个县/区314例流动人口肺结核病人,于2008年7-9月采用自制问卷进行调查,利用SPSS16.0软件进行分析。结果 80%的流动人口肺结核病人对目前实施的结核病优惠政策表示满意,仍有少数病人认为免费项目少,辅助药物费用高,经济困难是影响病人满意度的主要影响因素,Logistic回归分析结果显示,与各自对照组比较,中等收入的病人对结核病优惠政策更不满意(OR=0.257),而无债务(OR=5.380)、2007年医疗费支出低于1 000元(OR=5.291)、2007年结核病治疗费用低(OR>1)、规则治疗(OR=5.812)、对肺结核担心程度低(OR>1)为满意度的保护因素。结论结合病人意愿,探索符合实际可行的优惠政策;提高医疗费用报销比例,给予病人经济补贴,减轻病人负担。Objective To understand the satisfaction status to the preferential policies of tuberculosis control and its influencing factors among tuberculosis（TB） patients in floating population in Shandong province.Methods With stratified-cluster sampling method,314 pulmonary tuberculosis patients in floating population were randomly selected from twelve districts of Shandong province and investigated with a self-made questionnaire from July to September 2008.The data was analyzed with SPSS16.0.Results Of all TB patients 80% were satisfied with the preferential policies related to TB control.While a small number of patients regarded that the free medical programs were fewer than they expected and the price of auxillary drugs was high.They expected to have more free medical programs and auxillary drugs with low price.Logistic regression analysis indicated that without debt（odds ratio=5.380）,medical costs in 2007 less than 1 000 RMB yuan（OR=5.291）,lower TB treatment cost in 2007（OR1）,standard care（OR=5.812） and less worried about TB（OR1） were protective factors of satisfaction to preferential policies of TB control.The patients in midium income households were more satisfied than those with high income（OR=0.257）.Conclusion Combined with the willingness of TB patients,more preferential policies which are practical and logical should be explored.More government financing and the increase of medical expenses reimbursement for TB patients in floating population are necessary.

关 键 词：流动人口 肺结核病人 结核病优惠政策 满意度 

分 类 号：R181.32[医药卫生—流行病学]