云南省提高山区疑似肺结核患者就诊到位措施效果评价  

Evaluation on Intervention Effect on Improving Arrival Rate of Tuberculosis Suspects in Mountainous Areas of Yunnan Province

作　　者：许琳[1] 陈连勇[1] 谭敏[1] 王智璇[2] 龙治任[2] 

机构地区：[1]云南省疾病预防控制中心,云南昆明650022 [2]昆明医学院,云南昆明650031

出　　处：《预防医学论坛》2012年第3期171-173,共3页Preventive Medicine Tribune

摘　　要：[目的]评价3种不同激励措施对疑似肺结核患者就诊到位的影响效果。[方法]在云南省抽取12个县,分为激励1、2、3组(分别为对样本县预防控制中心结核病门诊医生追踪疑似肺结核患者进行激励、对综合医院医生转诊就诊疑似肺结核患者进行激励、在综合医院对就诊疑似肺结核患者提供现金激励)和对照组(不实施激励),比较激励措施实施前与实施期间各组患者的转诊到位与追踪到位情况。[结果]12个县合计报告疑似肺结核患者2 113例,其中干预实施前(2006年10月至2007年1月)912例,干预实施期间(2007年2～5月)1 201例。患者就诊到位率,干预前为52.74%,干预实施期间为67.78%(P<0.01)。干预1、2、3组和对照组就诊到位率,干预前分别为61.90%、62.72%、67.08%、60.59%(P>0.05),干预实施期间分别为74.65%、60.53%、77.56%、59.55%,干预1、3组均高于干预2组和对照组(P<0.01),干预2组与对照组、干预1组与干预3组的差异均无统计学意义(P>0.05)。[结论]为疾病预防控制中心结防门诊医生提供追踪激励或为疑似肺结核患者提供就诊交通补助是提高患者就诊到位率的有效措施。[Objective]To evaluate effect of three incentives on improving arrival rate of tuberculosis（TB） suspects in Yunnan province. [Methods]12 counties were sampled in Yunnan province, among three intervention groups, financial incentives were respectively provided for doctors at county-level centers for disease control and prevention（CDC）, general hospitals and TB suspects, no financial incentives for control group, and effect was compared on improving transfer andfollow-up arrival rate of TB suspects before and during intervention. VResults]A total of2 113 TB suspects were reported by 12counties,among those,912 patients before intervention （October,2006-January,2007） ,1 201 patients were during intervention（February-May,2007）. Te arrival rate before intervention was 52.74% and 67.78% during intervention（ P0.01）. Before intervention, the arrival rate of the first, second, third groups and the control group was respectively 61.90% ,62.72%, 67.08% ,and 60; 59% （ P〉0.05）. During intervention,the arrival rate of those groups was respectively 74.65%, 60.53 %, 77.56% ,and 59.55 %, the first group and third group were higher than the second group and control group（ P〈0.01） ,there were no statistical significances（ P〉0.05）.[Conelusion]Providing incentives for CDC TB clinic staff or transport allowances for TB suspects are effective measures in improving the arrival rate of TB patients. Key words ： Pulmonary tuberculosis ; Incentive ; Intervention

关 键 词：肺结核病人 激励 干预 

分 类 号：R521[医药卫生—内科学]