关键词: 结核, 肺/预防和控制, 转诊和会诊, 医院, 综合

Abstract: Objective  To understand referral in place situation of pulmonary tuberculosis patient in Dongfang Hospital Affiliated to Beijing University of Chinese Medicine. Methods By the mean of telephone follow-up, we investigated referral,tracking situation of 156 cases with pulmonary tuberculosis reported by Dongfang Hospital from January 2011 to December 2013. Taking referral in place rate as analysis indicator, we collected the information including ages， gender, health insurance, awareness of free treatment policy, income stablility, concern for social prejudice，seeking care delay, the referral department. SPSS 15.0 statistical software is used for collation and statistical analysis, χ² tests were applied to analysis, and statistical significance is on the basis of P<0.05. Results Among 156 cases with tuberculosis,106 cases were treated in tuberculosis dispensaries,while 29 cases in Chest Hospital, 6 cases went back to their hometowns, 15 cases were lost for follow-up. Ninety-six cases were referred and the arrival rate of the referred cases was 61.54％(96/156);60 were tracked and the arrival rate of the tracked cases was 75.00％ (45/60). The overall in place rate was 90.38% （141/156）; Inpatient referral in place rate was significantly higher than outpatients (90.00%（27/30）vs 54.76%(69/126))(χ²=12.712，P＜0.01); There are significant differences between referral rate in place of different gender, whether have health insurance, have or no stable income, know or unknown free policy, whether referral departments is respiratory department or not (referral in place rate 94.85% (92/97) vs 83.05% (49/59),98.09% (103/105) vs 74.51% (38/51), 97.37% (111/114) vs 71.43% (30/42), 96.21% (127/132) vs 58.33% (14/24), 98.70% (76/77) vs 82.28% (65/79 respectively); χ²=5.87,19.34,20.87,29.31,12.10 respectively; P＜0.05，＜0.01，＜0.01，＜0.01，＜0.01 respectively). Conclusion  The general referral in place rate of pulmonary tuberculosis cases reported by Dongfang Hospital is generally high; different gender, whether have health insurance, whether have stable income, whether known of free policy, whether referral from respiratory department are the important factors affecting the referral in place rate.

Key words: Tuberculosis, pulmonary/prevention &, control, Referral and consultation, Hospitals, general