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中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (4): 216-218.

• 论著 • 上一篇    下一篇

经费对世行项目县结核病人治疗管理的影响

王兰香1;王光鑫2;韩连堂3;詹绍康1;尹爱田3;   

  1. 1.复旦大学公共卫生学院 上海 200032;2.山东省潍坊市青州疾病预防控制中心 潍坊 261000;3.山东省潍坊医学院 潍坊 261042;
  • 出版日期:2003-04-10 发布日期:2003-11-03
  • 基金资助:
    WHOTDR研究部资助项目 (A00363)

Impact resulting from funding shortage on TB management in project counties

WANG Lan-xiang,WANG Guang-xin,HAN Lian-tang,et al.   

  1. School of Public Health,Fudan University,Shanghai 200032
  • Online:2003-04-10 Published:2003-11-03

摘要: 目的 研究世行项目县经费缺乏对结核病人治疗管理的影响。方法 通过收集 1993—2001年 9年的结核病投入财务报表,了解青州市结核病配套经费及卫生事业经费的落实情况;采访结防所工作人员,乡、村防痨医生及结核病人,了解其治疗和管理过程。结果 经费的缺乏不但导致医务人员无法实施对涂阳结核病人的督导、访视,影响治疗效果,而且还会导致结防机构的趋利性,从而增加结核病人的诊治费用。结论 政府承诺,多方筹资,增加投入,实现结核病控制的可持续发展。

关键词: 结核/预防和控制, 经费, DOTS

Abstract: Objective To study the influence of funding shortage on treatment management of tubercle patients.Methods Data from 9 years annual regular and financial reports were collected to study funds input.Staff of TB dispensary,township and village TB doctors,TB patients were interviewed to know the supervisory course of tuberculosis.Results Health staff could not carry out DOTS strategy and their earning behavior appeared in TB institution caused of financial shortage.Conclusion It is important for government to commit more on TB control.Multiple investment to implement sustainable development on TB control program should also be strengthened.

Key words: Tuberculosis/prevention and control, Funding, DOTS