肺结核病人转诊相关问题分析

目的　了解综合医疗机构医务人员对结核病人转诊工作的认识、态度和行为,分析影响结核病患者转诊的各种社会、经济和文化因素。方法 对《新疆维吾尔自治区结核病控制项目社会学评价调查》相关内容进行分析。结果 有症就诊率为82.8%,综合医疗机构转诊率29.5%,转诊到位率60.4%,60.6%的肺结核病人就诊延迟;50.2%的患者确诊延迟。主要影响因素是经济认识,交通不便等。结论 必须加强群众健康促进工作,努力提高医疗网对结核病诊断、报告和转诊能力建设,结防机构要提高追踪率和结核病规范管理工作能力。

Analysis of factors related to referral of patients with pulmonary tuberculosis

Objective To understand the cognition,attitude and behavior of medical staff from general medical institutions in referral of tuberculosis patients,analyze social,economic and cultural factors influencing the referral.Methods The correlated contents of Survey of Sociological Evaluation on Tuberculosis Control Program in Xinjiang Uygur Autonomous Region were analyzed.Results The consultative rate of patients with symptoms was 82.8%,the referral rate in general health facility was 29.5%,and the arrival rate of the referred cases was 68.4%.60.6% patients with pulmonary tuberculosis were delayed in seeking health care service,50.5% patients were delayed in confirming the diagnosis.The factors related to the delayed consultation or without consultation including economic,awareness and poor transportation,etc.d final diagnosis and low rate of transfer treatment reflect low differentiation,technical proficiency and recognition.Conclusions Health promotion should be strengthened to improve the capacity of TB diagnosis,reporting and referral.TB dispensary should enhance the capacity in tracing and standard management.