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目的分析农村肺结核患者的求医行为。方法随机选择山东省的3个县,通过面对面问卷方式,调查了247名在县结核病防治所登记的新发涂阳农村肺结核患者。结果近75%的农村肺结核患者在到县结核病防治所接受免费抗结核治疗前,至少去过2家卫生机构。有58%的患者在有症状后首先到村卫生室就诊,但75%的患者被错误地诊断为感冒。从村卫生室到县医院,再到县结核病防治所;从县医院到县结核病防治所;从村卫生室到乡镇卫生院,再到县结核病防治所是主要的就医行为模式。结论农村肺结核患者需要多次就诊才能获得正规抗结核服务,但首诊机构是村卫生室的患者,其就诊过程要更为复杂。
Objective To analyze the medical treatment of patients with pulmonary tuberculosis in rural areas. Methods Three counties in Shandong Province were randomly selected and 247 newly registered smear positive rural tuberculosis patients registered at the county TB control office were investigated through face to face questionnaire. Results Nearly 75% of rural tuberculosis patients went to at least 2 health facilities before receiving free anti-TB treatment from TB control in the county. 58% of patients first visited the village clinic after having symptoms, but 75% of patients were mistakenly diagnosed as having a cold. From village clinics to county hospitals to county TB prevention and treatment centers; from county hospitals to county TB prevention and treatment centers; from village clinics to township hospitals to county TB prevention and treatment centers are the major modes of medical treatment. Conclusions Patients with rural tuberculosis need multiple visits to obtain regular anti-tuberculosis services. However, the first referral agency is the village clinic and the consultation process is more complicated.