论专科医院模式下影响结核病归口管理的因素  

Evaluating the Influencing Factors of TB Centralized Management in the Specialist Model

作　　者：阴佳[1] 魏晓林[2] 孙强[3] 张修磊[4] 牛慧波[1] 邹冠炀[1] 

机构地区：[1]英国利兹大学纳菲尔德国际卫生与发展中心驻中国项目办公室,广东深圳518003 [2]香港中文大学,香港999077 [3]山东大学卫生管理与政策研究中心,山东济南250012 [4]山东省结核病防治中心,山东济南250012

出　　处：《医学与哲学（A）》2012年第5期44-46,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：英国国际发展署传染病研究项目"中国结核病医防合作方式研究";项目编号:RGNUFF 460859

摘　　要：为了解专科医院模式下影响结核病归口管理的因素,2008年在山东省两个县区对每县50例初治肺结核患者及10名当地卫生服务提供者进行了调查。发现专科医院模式下结核病归口管理受到结防机构与专科医院的沟通机制、医保政策、患者信任度和内外监管等因素影响。该模式下患者存在经济负担重、耐药风险大等问题。In order to understand the influencing factors of TB centralized management in the specialist model, an investiga tion was carried out in two counties of Shandong province in 2008. 50 new TB patients and 10 local health providers were surveyed in each county respectively. It was found that TB centralized management in the specialist model was influenced synthetically by communication mechanism between TB dispensary and the TB specialist hospital, the policy of health in- surance, trust from TB patients, as well as effective monitoring systems both inside and outside the TB special hospital and so on. The study also revealed that patients in the specialist model suffered a lot from heavy financial burden, high risk of drug resistance relating to the high rates of hospitalization and usage of the second-line anti-TB drugs.

关 键 词：结核病 专科医院 归口管理 

分 类 号：R197[医药卫生—卫生事业管理]