摘要
目的调查分析转入地结防机构反馈＂未到位＂的流动人口肺结核患者的去向和原因,采用针对性措施实施干预并进行效果评价,为结防机构更好地开展跨区域管理工作提供借鉴。方法分别电话调查被转入地结防机构反馈＂未到位＂的流动人口肺结核患者及其转入地结防机构该患者的到位情况和未到位原因,采取增加资料采集、加强宣教、纠正医院到位患者的反馈信息、定时双向核实到位情况和经济激励的针对性措施干预4年。使用SPSS 17.0软件,对调查研究的结果采用描述性统计方法分析,对类实验采用χ-2检验方法分析并计算RR值及其95%的置信区间。结果电话调查患者结果显示,无法联系者为43.28%（29/67）,到独立的结核病定点医疗机构就诊者为22.39%（15/67）,已到位转入地结防机构就诊者为17.91%（12/67）,未就诊者为16.42%（11/67）。对转入地结防机构电话调查结果显示,未到位患者为70.15%（47/67）,到位患者为29.85%（20/67）。除无法联系的患者外,其他患者均与转入地结防机构调查结果一致（56.72%,38/67）。转入地结防机构误反馈＂未到位＂率为29.85%（20/67）,原因主要为反馈人员未获得患者门诊到位信息（45.00%,9/20）、患者到位后原＂未到位＂反馈结果忘记更改（20.00%,4/20）、因专报系统故障导致＂未到位＂的反馈结果无法更改（10.00%,2/20）和经费不足（10.00%,2/20）。类实验中,干预组到位率为82.62%（233/282）,明显高于对照组的62.47%（112/179）,二者差异有统计学意义（χ^2=23.39,P〈0.001）。结论患者被反馈＂未到位＂原因主要为缺乏宣教、到独立的定点医疗机构就诊、转入地责任心不足,针对性干预措施有效且可行。
Objective To investigate and analyze the reasons and whereabouts of the pulmonary tuberculosis patients who were notified as ＂failed to arrive＂ by local tuberculosis institutions after transferred out. Adopt and evaluate the specific measures to implement intervention, and provide reference for better cross-regional management of the TB control institutions.Methods The pulmonary tuberculosis patients notified as ＂failed to arrive＂ and the local tuberculosis institutions were respectively investigated by phone calls for arrival situation and reasons. A combined intervention method of adding data item collection, strengthening propaganda and education, check the arrival situation by two ways at regular time and correcting arrival information of hospital patients was implemented for 4 years. SPSS17.0 was used for statistical analysis. Descriptive statistics and chi-square method was respectively adopted to analyze the results of investigation study and quasi experiment,RR and 95% CI. were calculated. Results Results of phone calls investigations on patients showed that 43.28%（29 / 67）lost contact, 22.39%（15 / 67） went to tuberculosis designated hospitals, 17.91%（12 / 67） arrived at local tuberculosis institutions,and 16.42%（11 / 67） did not go to any hospitals. Results of phone calls investigations on local tuberculosis institutions showed that 70.15%（47 / 67） of the patients didn＇t arrive whereas 29.85%（20 / 67） arrived. All results of phone calls investigations on patients and on their institutions were the same except the ones lost contact. The incidence of the wrong information ＂failed to arrive＂ reported by local tuberculosis institutions were 29.85%（20 / 67）, and the reasons were relatively the network reporting operator failed to receive the arrival information of the patient from the outpatient department（45.00%, 9 / 20）, the network reporting operator forgot to correct the arrival information after the patient arrived, network failure（10.00%,2 / 20） and lack
出处
《热带医学杂志》
CAS
2016年第7期951-954,F0003,共5页
Journal of Tropical Medicine
基金
深圳市科技局科研立项课题(200803171)
关键词
肺结核
病人转诊
流动人口
Tuberculosis
Patient transfer
Floating population
