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目的分析转诊后未到位肺结核可疑者未到位原因,探讨进一步提高转诊到位率的措施。方法采用统一培训调查员,入户填写调查问卷方法对315例转诊后未就诊肺结核可疑症状者进行调查,使用SPSS10.0软件包进行统计分析。结果完成有效调查问卷181份,未就诊者多为低收入(94.1%)、低学历(80.7%)的社会弱势人群,已在其他医院就诊除外肺结核(54.5%)、自觉症状消失/好转(17.4%)、经济困难(6.6%)、行动不便(6.0%)、交通困难(4.8%)、药店自购药(4.2%)等为患者未就诊的主要原因。结论结核病防治专业机构加大工作的积极性和主动性、在全社会强化健康促进工作、特别是强化免费诊治政策的宣传,不断提高与医疗机构的合作程度、提高医务人员传染病报告卡填写质量,加强对抗结核药品的管理力度等措施以提高转诊患者的到位率。
Objective To analyze the reasons why suspicious TB patients were not in place after referral and to investigate the measures to further improve the referral rate. Methods Unified training investigators, households fill out the questionnaire method to 315 cases of suspected pulmonary tuberculosis after referral were investigated, using SPSS10.0 software package for statistical analysis. Results A total of 181 valid questionnaires were completed, and most of the non-attendants were low-income (94.1%) and under-educated (80.7%), except for pulmonary tuberculosis (54.5%) and disappearance / improvement of symptoms %), Economic difficulties (6.6%), mobility problems (6.0%), traffic difficulties (4.8%), pharmacies purchasing drugs (4.2%) were the main reasons for not visiting the patients. Conclusion The professional TB prevention and control agencies have stepped up their enthusiasm and initiative in promoting health promotion in the whole society. In particular, they intensified the promotion of free diagnosis and treatment policies, continuously improved the cooperation with medical institutions, and improved the quality of medical staff reporting of infectious disease report cards. Strengthen the management of anti-tuberculosis drugs and other measures to improve the referral rate of patients.