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目的调查山东省6县(区)涂阳肺结核病人对结核优惠政策的满意度,分析其存在的问题及影响因素,为完善相关激励政策提供参考依据。方法采用分层整群随机抽样方法,对山东省6县(区)819例涂阳肺结核病人进行问卷调查。结果84.2%的肺结核病人对结核优惠政策满意,83.0%的病人认为优惠政策能激励自己;不满意、不能被激励的主要原因均是免费项目少和辅助药物费用高;22.2%的肺结核病人希望抗结核药物免费的同时,能报销一定的辅助药物费用和辅助检查费用。结论优惠政策在减轻病人经济负担方面得到了多数病人的认可,但优惠力度还不够。
Objective To investigate the satisfaction degree of tuberculosis patients with smear positive pulmonary tuberculosis in 6 counties (districts) in Shandong Province, analyze the existing problems and influential factors, and provide reference for perfecting relevant incentive policies. Methods A stratified cluster random sampling method was used to survey 819 smear positive pulmonary tuberculosis patients in 6 counties (districts) of Shandong Province. Results 84.2% of TB patients were satisfied with the preferential TB policy, 83.0% of the patients considered the preferential policies to be able to motivate themselves. The main reasons that they were not satisfied and could not be motivated were the low number of free items and the high cost of auxiliary drugs; 22.2% Tuberculosis drugs free at the same time, be able to reimburse a certain amount of ancillary drugs and auxiliary inspection costs. Conclusion Preferential policies have been approved by the majority of patients in reducing the financial burden on patients, but the preferential treatment is not enough.