Abstract: Objective To identify the factors impacting on not arriving at TB dispensaries (TD) of TB cases (cases) reported and referred by non-TB control institutions (NTI), and provide the reference for developing policies to strengthen PPM.  Methods During May to July 2010, total 8 counties were sampled in Beijing, Guangdong, Guizhou and Xinjiang, and 235 cases who arrived at TD and 226 cases who didn’t arrive at TD were recruited to receive questionnaire interviews as control and case groups, respectively.  Results Multiple logistic regressions demonstrated that cases being female (OR=1.63; 95%CI:1.06-2.51), cases living less than one year in the place they were notified (OR=3.05; 95%CI:1.36-6.86), cases’ total expense from their pockets during in NTI exceeding their families’ annual income per capita by 60% (OR=1.94; 95%CI:1.25-3.02), physician in NTI not issuing referral sheets to cases (OR=2.61; 95%CI:1.69-4.04), cases suspecting or not knowing curative effect of TB drugs provided by TD (OR=2.00; 95%CI:1.29-3.11), cases not knowing the place of TD (OR=3.04; 95%CI:1.64-5.63) and cases needing more than eighty minutes from NTI to TD (OR=2.71; 95%CI:1.63-4.51) were significantly associated with cases not arriving at TD.  Conclusion In order to improve the arrival rate of referral, NTI should pay more attention to cases in female and floating population, and reduce cases’ economic burden, and TD should enhance health promotion, and provide convenient service measures.

Key words: Tuberculosis,pulmonary, Patient transfer, Computer communication networks