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中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (6): 337-340.

• 论著 • 上一篇    下一篇

上海市流动人口肺结核病人接受治疗影响因素研究

陈静1;魏晓林2;李洪娣3;孙晨光3;张泽申3;陈萍3;沈梅1;梅建1   

  1. 1.上海市疾病预防控制中心 上海 200336;2.英国利兹大学;3.上海市长宁区疾病预防控制中心 上海 200051
  • 出版日期:2009-06-10 发布日期:2011-11-03

Study on barriers to anti-TB treatment for rural-to-urban migrant TB patients in Shanghai

Chen Jing1, Wei Xiaolin, Li Hongdi, Sun Chenguang, Zhang Zeshen, Chen Ping, Shen Mei, Mei Jian   

  1. 1. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China;2. The University of Leeds, Leeds, England; 3. Changning district center for disease control and prevention, Shanghai 200051, China
  • Online:2009-06-10 Published:2011-11-03

摘要: 目的了解上海市外来流动人口肺结核病人接受减免治疗的情况及其影响因素,为降低流动人口肺结核病人丢失率、提高治愈率提供依据。方法选择上海市不同社会经济发展水平和自然地理条件的6个区,调查采用目的性非概率性抽样方法,对34名流动人口肺结核病人进行个人深入访谈。结果流动人口肺结核病人确诊前就医行为不一,延迟诊断者诊断费用支出较大。流动人口在上海治疗结核病费用较高,面临着生活和治疗上双重的经济困难。部分流动人口病人患病前缺乏对结核病相关知识和减免政策的了解,对患病和减免报销持不同态度。结论流动人口在上海诊断和治疗肺结核病面临着巨大的经济困难,减免治疗政策的作用极为有限,政府有待进一步加强对综合医疗机构的管理,同时加大对流动人口的经济支持以帮助其完成治疗。

关键词: 结核, 肺/治疗, 结核, 肺/经济学, 居住流动性, 上海市

Abstract: Objective To explore the barriers to anti-TB treatment for rural-to-urban migrant TB patients in Shanghai. Method34 rural-to-urban migrant lived in six districts were in-depth interviewed. ResultsMany migrant patients experienced high treatment costs both before and after their TB diagnosis. Migrant patients experienced high living costs in Shanghai. Migrant patients had a limited knowledge of TB and the free treatment policy, and hold various attitudes to reimbursement procedure. ConclusionsRural-to-urban migrant TB patients are facing tremendous economic difficulties during the diagnosis and treatment process in Shanghai. The free treatment policy has little if any effect in reducing migrant patients’ financial stress. It’s imperative to contain the general public hospitals and provide social welfare to migrants to support their treatment.

Key words: pulmonary tuberculosis/therapy, pulmonary tuberculosis/economics, residential mobility, Shanghai city