深圳市网络直报肺结核患者转诊未到位原因分析  

Analysis of the reasons affecting the arrival of referral pulmonary tuberculosis patients reported through internet-based infectious disease reporting system in Shenzhen city

作　　者：吕建文[1] 杨应周[1] 吕德良[1] 吴清芳[1] 张玉华[1] 管红云[1] 李明珍[1] 

机构地区：[1]深圳市慢性病防治中心,深圳518020

出　　处：《中国防痨杂志》2011年第6期336-339,共4页Chinese Journal of Antituberculosis

基　　金：国家"十一五"重大科技专项"宝安区防治结核病规模化现场流行病学和干预的研究"(2009ZX10003-018)

摘　　要：目的分析深圳市网络直报肺结核患者转诊未到位的影响因素,为制定提高转诊到位率的措施提供建议。方法采用病例对照研究,对2010年4月份深圳市综合医疗机构转诊的网络直报肺结核患者进行转诊相关信息的问卷调查,使用SPSS13.0软件进行统计学分析。结果共调查165例,其中未到位组81例,到位组84例。未到位组转诊医生告知结核病免费政策率(42.0%)显著低于到位组(57.1%)(P<0.05),未到位组认为到结防机构交通不方便率(81.5%)显著高于到位组(61.9%)(P<0.05),且未告知结核病免费政策与到结防机构交通不方便存在协同作用。结论深圳市网络直报肺结核患者转诊未到位的主要影响因素为部分转诊医生未告知结核病免费政策和到结防机构交通不方便。Objective To analyze the factors affecting the arrival of reported pulmonary tuberculosis（PTB） patients reported by internet-based infectious disease reporting system to TB institutions after referral,and provide scientific basis for targeted measures in improving the referral in place rate. Methods This is a case-control design.Patients referral in Apr.2010 were investigated by questionnaire,SPSS13.0 software is used for statistical analysis. Results A total of 165 cases were investigated,of which 81 cases in non-arrival group,and 84 cases in arrival group.In non-arrival group,only 42.0% of patients were informed of the TB free policy by the doctors which is significantly lower than arrival group（57.1%）（P0.05）.Eighty-one point five percent of patients felt the transportation was inconvenient in non-arrival group,this is significantly higher than that in arrival group（61.9%）（P0.05）.There is a synergistic effect for free policy awareness and inconvenient transportation. Conclusions The major factors affecting the arrival in place were the awareness of the national TB free policy and inconvenient transportation.

关 键 词：结核 肺 病人转诊 深圳市 

分 类 号：R521[医药卫生—内科学]