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Chinese Journal of Antituberculosis ›› 2013, Vol. 35 ›› Issue (3): 191-196.

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Arrival situation and influencing factors of pulmonary tuberculosis patients reported in Guangdong province in internet-based reporting system

LI Jian-wei, JIANG Li, LIAN Yong’e, ZHOU Lin, ZHONG Qiu   

  1. Department of Scientific Education Information of Guangdong Center for Tuberculosis Control, Guangzhou 510630, China
  • Received:2012-11-28 Online:2013-03-10 Published:2013-03-14
  • Contact: ZHONG Qiu E-mail:gdtb@vip.163.com

Abstract: Objective To analyze the arrival situation and influencing factors of pulmonary tuberculosis (PTB) cases/suspects reported in internetbased system by general hospital in Guangdong province. Methods Referring and tracing TB patients have been implemented by using the information of internetbased reporting system. The arrival rate of 106669 local PTB cases/suspects, reported by local general hospital in 2011, were analyzed with logistic regression analysis method. Results There were 89825 PTB patients/suspects arrived at TB dispensary for seeking medical advice in 2011 in Gunagdong province. The overall arrival rate was 84.2% (89825/106669) and 42.5% (38179/89825) of arrivals were the cases by tracing. Referral(OR=7.993;95%CI:7.611-8.395), ID number recorded (OR=1.049;95%CI:1.006-1.094), telephone number recorded(OR=1.534;95%CI:1.467-1.603), organization name recorded(OR=1.222;95%CI:1.165-1.282)and detailed address recorded(OR=1.360;95%CI:1.297-1.425) were the factors helping patients seek medical advice in TB dispensary. The overall arrival rate in Western Guangdong was the lowest (OR=0.903;95%CI:0.847-0.963). The overall arrival rate of township hospital/community service center was higher than that of county level and above(OR=1.562;95%CI:1.465-1.666). The overall arrival rate of suspects was lower than those of laboratory diagnosed cases(OR=10.006;95%CI:9.219-10.861) and clinic diagnosed cases(OR=2.458;95%CI:2.349-2.571). The overall arrival rates of 15- age group(OR=0.338;95%CI:0.285-0.400), 35- age group(OR=0.282;95%CI:0.238-0.334) and 55- age group(OR=0.243;95%CI:0.205-0.288)were lower than that in <15 age group. Conclusion It has large development space in the work of referring and tracing in Guangdong province. Integrated management approaches need to be taken to consolidate and improve the overall arrival rate. Pressing the general hospital for referring PTB cases/suspects, filling in complete and accurate reporting information and improving the diagnostic capabilities of the general hospital are the keys to increase arrival.

Key words: Tuberculosis, pulmonary/prevention &, control, Patient transfer, Computer communication networks, Guangdong province