| 摘要: |
| ［摘要］目的 了解影响云南省肺结核患者及疑似肺结核患者到位的主要因素．方法 采用预先设计的调查问卷，对云南省12县2006年9月至11月登记报告的肺结核患者及疑似肺结核患者进行横断面调查，并进行单因素和多因素分析．结果 12个县2006年9月至11月共报告634例肺结核患者及疑似肺结核患者，560例出现症状后的首诊单位为医院，男女比例分别为71.6%和28.4%，“性别”、“文化程度”、“婚姻”等对到位没有显著性影响（P＞0.05），而“病人是否知道肺结核免费政策”、“医疗保险形式”和“医院医生是否告知肺结核免费政策”均具有显著性差异（P＜0.05）．结论 影响云南省患者到位的危险因素分别为“医疗保险形式”、“是否知道结核病免费政策”和“医生是否告知免费政策”．应将县级疾控中心纳入医疗保险和农村合作医疗的定点机构，并加强对各级医疗机构的管理和干预力度． |
| 关键词: ［关键词］肺结核病人 疑似肺结核病人 到位 相关因素 |
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| Analysis on Causes of Tuberculosis Patients and Suspects Failing to CDC in Yunnan |
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CHEN Lian－yong
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| Abstract: |
| ［Abstract］Objective To explore the influencing factors on the reported tuberculosis（TB）patients and suspects failing to the CDC（Center for Disease Control and Prevention）in Yunnan province．Methods Twelve counties were selected in the study．A cross-sectional study was conducted on tuberculosis patients and suspects during September to November 2006 using questionnaires．Single-factor and multi-factor analysis were performed． Results A totle of 634 patients（including TB patients and suspects）were reported．560（male 71.6%，female 28.4%）had come to hospital for diagnosis and treatment．Sex，degree of education and marital status had no influence on the rate of TB patients coming to CDC for diagnosis and treatment（P＞0.05）．But patients whether knowing free treating poliey of TB，forms of medical insurance and whether doctors informed patients free treating poliey of TB significantly influenced the arrival rate．Conclusions The influencing factors on TB patients coming to CDC for diagnosis and treatment are as follows: forms of medical insurance， whether knowing free treating policy of TB and whether doctors informed patients free treating policy of TB. County level CDC should be integrated into one of the listed bodies of medical insurance and rural cooperative medical service. At the same time， we have to strengthen management and intervention on all levels of medical institutions. |
| Key words: ［Key words］Tuberculosis（TB）patients Tuberculosis suspects Arrival Risk factors |