全国村医结核病防治知识、政策、行为现状调查

目的了解我国农村医生（简称“村医”）结核病防治核心信息、政策知晓率以及结核病相关医疗行为和健康教育与健康促进工作现状,为制定结核病健康教育和健康促进工作计划提供依据。方法多阶段整群抽样,全国共抽取45个县270个村的村医326名。使用统一设计的调查问卷对村医进行面对面询问式调查。结果74.8%的村医知道咳嗽、咳痰3星期以上有可能是肺结核,83.1%的村医知道新发现的肺结核病人必须进行6个月以上的规范治疗。93.9%的村医知道在结核病防治所做痰检免费,53.1%的村医知道在结核病防治所获取治疗肺结核的药物部分免费。62.6%的村医发现过可疑的肺结核病人。发现过可疑肺结核病人的村医中,75.0%村医对病人进行了登记,77.0%的村医将其转诊至结核病防治所,20.5%村医将病人转诊至其他医院,2.5%村医没有将病人转诊。57.7%的村医经常主动向村民讲解防治肺结核病的知识。66.9%的村医经常宣传国家防治肺结核病的免费政策。大多数村医拿到过宣传画和折页等宣传材料。结论村医的肺结核病防治核心信息和政策知晓率总体较好。大多数村医能够将发现的病人进行登记并转诊,村医主动向病人宣传结核病知识与政策的比例还较低。

Survey on awareness of key messages and policies and behaviors on tuberculosis prevention and treatment among village doctor

Objective To investigate the awareness rate of key messages, policies and behaviors on TB prevention and treatment among village doctors, and provide accurate data and evidence on developing priorities, establish programs and policies for TB control. Methods Questionnaire survey was conducted among 326 village doctors from 270 villages selected from 45 counties in China by muhistage cluster sampling. Results 74. 8% of village doctors knew that it was probably TB if cough lasted over three weeks ; 83. 1% knew that the new TB patients should take medicine over six months ; 93.9% knew that spit check was fee-free and 53.1% knew that part of anti - TB medicines were fee-free in TB dispensary. 62. 6% of village doctors had found the suspected TB patients, of which 75.0% registered the patients, 77.0% transferred the patients to TB dispensary. 20.5% transferred the patients to other hospitals and 2.5% did not transfer the patients to hospitals. 57.7% of doctors usually publicized the key messages on TB prevention and care and 66. 9% on fee-free policies to villagers. Conclusion Generally, most of the village doctors had known the key messages and fee-free polices on TB. Most of them could register and transfer the suspected patients. But part of them could not initiatively publicize the messages and policies on TB.