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目的查找肺结核病人和疑似肺结核病人转诊未到位的原因;调查肺结核病人服药情况,使肺结核病人及时发现并进行系统管理。方法在全市2006～2008年的年中和年终结核病控制项目检查中,随机抽查转诊未到位的肺结核病人和疑似肺结核病人以及正在服药的肺结核病人187例,督导员亲自到病人家中了解情况,如实记录,最后进行综合评价。结果追踪转诊未到位前五位原因依次为:查无此人、经济困难拒治、外出、死亡、医疗机构截留。访视结果前五位依次为:规则治疗、经济困难拒治、药物副反应严重不愿意服药、查无此人、外出。结论目前还存在着多种使病人不能及时到位、规范用药的原因。今后应加大追踪、访视工作力度,提高肺结核病人的追踪到位率和系统管理率。
Objective To find out the reasons why the referral of tuberculosis patients and suspected tuberculosis patients are not in place and to investigate the taking of tuberculosis patients so that tuberculosis patients can be timely found and systematically managed. Methods During the mid-2006 and mid-year tuberculosis control project examinations in the whole city, 187 randomized referral cases of tuberculosis patients and suspected pulmonary tuberculosis patients and tuberculosis patients taking medication were taken. The supervisors personally went to the patient’s home for information and truthfulness Record, the final comprehensive evaluation. Results Follow-up referral did not arrive in the top five reasons were: no such person, economic difficulties refused to refuse, go out, died, medical institutions retained. The top five visits were as follows: rule treatment, economic difficulties refusing to control side effects of drugs are not willing to take medication, check no such person, go out. Conclusion There are still many reasons why patients can not be put in place in time to standardize their medication. In the future, efforts should be made to follow up and visit the workforce so as to increase the follow-up rate and system management rate of TB patients.