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重庆流动人口结核疑似病人就诊延迟情况及影响因素研究

STUDY ON PATIENT DELAY AND THE INFLUENCING FACTORS OF TB SUSPECT PATIENTS AMONG RURAL TO URBAN MIGRANTS IN CHONGQING

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【作者】 龙倩汪洋汤胜蓝Rachel Tolhurst詹绍康岳勇李颖

【Author】 LONG Qian,WANG Yang,TANG Sheng-lan,et al.(School of Public Health,Chongqing University of Medical Sciences,Chongqing 400016,China)

【机构】 重庆医科大学公共卫生学院世界卫生组织驻京办事处英国利物浦大学热带医学院复旦大学公共卫生学院重庆医科大学公共卫生学院 重庆400016重庆

【摘要】 [目的]了解重庆流动人口结核疑似病人就诊延迟情况,并探索其相关影响因素。[方法]对1005名结核病疑似患者采用问卷调查,结合定性研究方法,开展多次专题小组讨论,个人深入访谈和关键人物访谈。[结果]流动人口结核疑似患者在寻求卫生服务的过程中就诊延迟现象严重,年龄、性别、婚姻状况、医疗保障及病后不恰当的措施等因素都与延迟的发生有关。[结论]扩大医疗保险覆盖率,促进卫生服务利用的公平性,初步探索私人药房在结核病控制工作中可能扮演的角色。

【Abstract】 [Objective]To study the delays in accessing health services for TB suspect patients among rural to urban migrants and explore the factors influencing delays.[Mehods]1 005 TB suspect patients were involved in questionnaire survey and qualitative study.FGD,in-depth interview and key informants interview were applied in this study.[Results]Delays in accessing health services of TB suspect patients among rural to urban migrants were serious.The factors influencing delays were as follows:age,gender,marriage situation,health insurance and inappropriate measures taken after sick.[Conclusion]The coverage of health insurance should be extended to improve the equity in accessing health services.It is possible to explore the role of private drugstore in TB control.

【基金】 世界卫生组织/世界银行/联合国开发计划署热带病研究和培训项目(WHO/TDRA30276)
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2007年05期
  • 【分类号】R52
  • 【被引频次】23
  • 【下载频次】302
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