摘要
目的:运用定性研究方法找出重庆地区肺结核病人低发现率的主要影响因素,为提出有效的病人发现模式提供依据,提高病人发现率。方法:采用了问题分析和矩阵排序、个人深入访谈、专题小组讨论等多种定性研究的方法,对包括结防专业机构的医护人员、结核病现症病人等进行了采访。结果:政府财政投入不足、高危人群筛查工作开展不足、医疗费用过高、交通不便等因素是制约重庆市结核病人发现工作的主要因素,其中政府财政投入不足影响最大。结论:采用问题分析和矩阵排序的方法明确了不同的因素对病人发现的影响程度。只有更好地落实政府承诺,加强结防机构自身建设,定期开展高危人群的筛查工作及加强归口管理工作,才能够切实地提高病人发现水平。
Objective： To detect the main influencing factors of the low case detection rate of Tuberculosis in Chongqing Municipality, thus to provide evidence for developing the more practical and effective case detection mode. Methods： Qualitative methods such as problem analysis, matrix ranking and in-depth interview etc. were mainly used in the study. Results： To be lack of governmental financial support and screening to high - risk group, and inconvenient transportation etc. were main influencing factors of low case detection rate. Conclusion： Being lack of governmental financial support was identified as the most important influencing factor through using problem analysis and matrix ranking method. Only to enhance the government commitment and to conduct screening in high risk group regularly etc. can improve the case detection.
出处
《现代预防医学》
CAS
北大核心
2006年第1期9-11,共3页
Modern Preventive Medicine
基金
世界卫生组织/利物浦大学资助项目(WHO/TDR/A30276)
关键词
肺结核
病人发现
定性调查
问题分析
矩阵排序
Tuberculosis
Case detection
Qualitative research
Problem analysis
Matrix ranking
