Abstract: Objective To understand the cognition,attitude and behavior of medical staff from general medical institutions in referral of tuberculosis patients,analyze social,economic and cultural factors influencing the referral.Methods The correlated contents of Survey of Sociological Evaluation on Tuberculosis Control Program in Xinjiang Uygur Autonomous Region were analyzed.Results The consultative rate of patients with symptoms was 82.8%,the referral rate in general health facility was 29.5%,and the arrival rate of the referred cases was 68.4%.60.6% patients with pulmonary tuberculosis were delayed in seeking health care service,50.5% patients were delayed in confirming the diagnosis.The factors related to the delayed consultation or without consultation including economic,awareness and poor transportation,etc.d final diagnosis and low rate of transfer treatment reflect low differentiation,technical proficiency and recognition.Conclusions Health promotion should be strengthened to improve the capacity of TB diagnosis,reporting and referral.TB dispensary should enhance the capacity in tracing and standard management.

Key words: Tuberculosis, pulmonary/Transfer treatment