Abstract: ObjectiveTo analyze the causes for which the TB suspects who had been transferred, but did not arrive at TB control institute for clinical consultation, and to discuss the measure for improving the arrival rate of referral. MethodsThe trained investigators interviewed 315 TB suspects who did not go to TB control institute for clinical consultation after referring during family visits with questionnaire, SPSS 10.0 software was used to analyze the data. ResultsOne hundred and eighty-one questionnaires were finished. Most cases were vulnerable group of low income (94.1%) and low education (80.7%). The main reasons were that the suspects had been diagnosed as other diseases except TB in other hospitals (54.5%); the symptom had alleviated or healed (17.4%); with poor condition (6.6%), mobility disabled (6.0%), with poor traffic condition (4.8%); the patients had bought TB drugs in drugstore (4.2%). ConclusionsBy means of increasing the activity and initiative of TB institute, strengthening health promotion activities, especially propagandizing free diagnosis and treatment policy, improving the cooperation between TB dispensaries and hospitals, enhancing the quality of filling in infection card and strengthening management of TB drug, the arrival rate of referral will be improved.

Key words: Tuberculosis,pulmonary/diagnosis, Referral and consultation, Questionnaires, Tianjin city