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目的了解山东省流动人口肺结核病人对结核病优惠政策满意程度及影响因素。方法采用分层随机抽样,共抽取山东省7个地市12个县/区314例流动人口肺结核病人,于2008年7-9月采用自制问卷进行调查,利用SPSS16.0软件进行分析。结果 80%的流动人口肺结核病人对目前实施的结核病优惠政策表示满意,仍有少数病人认为免费项目少,辅助药物费用高,经济困难是影响病人满意度的主要影响因素,Logistic回归分析结果显示,与各自对照组比较,中等收入的病人对结核病优惠政策更不满意(OR=0.257),而无债务(OR=5.380)、2007年医疗费支出低于1 000元(OR=5.291)、2007年结核病治疗费用低(OR>1)、规则治疗(OR=5.812)、对肺结核担心程度低(OR>1)为满意度的保护因素。结论结合病人意愿,探索符合实际可行的优惠政策;提高医疗费用报销比例,给予病人经济补贴,减轻病人负担。
Objective To understand the degree of satisfaction and influencing factors of tuberculosis preferential policies among floating population in Shandong Province. Methods Totally 314 pulmonary TB patients from 12 counties / districts in 7 cities of Shandong Province were collected by stratified random sampling. The questionnaires were collected from July to September in 2008 and analyzed by SPSS 16.0 software. Results 80% of migrant pulmonary tuberculosis patients were satisfied with the preferential treatment policy of tuberculosis. A small number of patients still considered that there were few free items, high cost of auxiliary drugs and economic difficulties were the main influencing factors of patient satisfaction. Logistic regression analysis showed that, Middle-income patients were even more dissatisfied with the preferential TB policy (OR = 0.257) and no debt (OR = 5.380) compared with their respective control groups. In 2007, the expenditure on medical expenses was less than 1,000 yuan (OR = 5.291). In 2007 Tuberculosis treatment costs are low (OR> 1), regular treatment (OR = 5.812), low degree of concern about tuberculosis (OR> 1) as a protective factor of satisfaction. Conclusions Based on the patients’ wishes, we explore preferential policies that are practicable, improve the proportion of reimbursement of medical expenses, give patients economic subsidies and reduce the burden on patients.