南京医科大学学报(社会科学版)
南京醫科大學學報(社會科學版)
남경의과대학학보(사회과학판)
ACTA UNIVERSITATIS MEDICINALIS NANJING(SOCIAL SCIENCE)
2015年
1期
39-42
,共4页
张思源%黄飞%汪彦辉%陆伟%陈家应
張思源%黃飛%汪彥輝%陸偉%陳傢應
장사원%황비%왕언휘%륙위%진가응
结核,肺%预防和控制%延迟%家庭收入
結覈,肺%預防和控製%延遲%傢庭收入
결핵,폐%예방화공제%연지%가정수입
tuberculosis,pulmonary%prevention and control%delay%family income
了解家庭收入与新发涂阳肺结核患者就诊延迟、确诊延迟和治疗延迟的关系。采用分层随机抽样方法,抽取镇江市3个县(区)192例新发涂阳肺结核患者为调查对象,采用自制调查问卷进行调查。就诊延迟、确诊延迟和治疗延迟的均数为15.92、13.97和1.27天。家庭人均收入均值为14983.26元。不同家庭收入水平的患者,发生2周以上就诊延迟比例的差异没有统计学意义(P=0.128);但患者选择的医疗机构级别不同,不同级别医疗机构间2周以上确诊延迟比例的差异有统计学意义(P﹤0.001)。收入水平已不是影响镇江市新发涂阳肺结核患者就诊延迟的主要因素,但是家庭经济水平仍然通过首诊机构影响着患者的确诊延迟。
瞭解傢庭收入與新髮塗暘肺結覈患者就診延遲、確診延遲和治療延遲的關繫。採用分層隨機抽樣方法,抽取鎮江市3箇縣(區)192例新髮塗暘肺結覈患者為調查對象,採用自製調查問捲進行調查。就診延遲、確診延遲和治療延遲的均數為15.92、13.97和1.27天。傢庭人均收入均值為14983.26元。不同傢庭收入水平的患者,髮生2週以上就診延遲比例的差異沒有統計學意義(P=0.128);但患者選擇的醫療機構級彆不同,不同級彆醫療機構間2週以上確診延遲比例的差異有統計學意義(P﹤0.001)。收入水平已不是影響鎮江市新髮塗暘肺結覈患者就診延遲的主要因素,但是傢庭經濟水平仍然通過首診機構影響著患者的確診延遲。
료해가정수입여신발도양폐결핵환자취진연지、학진연지화치료연지적관계。채용분층수궤추양방법,추취진강시3개현(구)192례신발도양폐결핵환자위조사대상,채용자제조사문권진행조사。취진연지、학진연지화치료연지적균수위15.92、13.97화1.27천。가정인균수입균치위14983.26원。불동가정수입수평적환자,발생2주이상취진연지비례적차이몰유통계학의의(P=0.128);단환자선택적의료궤구급별불동,불동급별의료궤구간2주이상학진연지비례적차이유통계학의의(P﹤0.001)。수입수평이불시영향진강시신발도양폐결핵환자취진연지적주요인소,단시가정경제수평잉연통과수진궤구영향착환자적학진연지。
Objective: To explore the impact of family income on health-seeking, diagnosis and treatment delays for newly smear positive tuberculosis patients. Methods: There were 192 participants from 3 counties in Zhenjiang, which were selected by stratified random sampling method. A questionnaires survey was carried out in this study. Results: The mean of health-seeking, diagnosis and treatment delays was 15.92, 13.97 and 1.27 days, respectively. The mean of family per-capita income was 14 983.26 Yuan. There were no statistically significant differences in unacceptable health-seeking delay among different family income groups (P=0.128). However, a statistically significant difference was found in the level of medical institution initially visited among patients with different family per-capita income and there were a statistically significant differences in unacceptable diagnosis delay among different medical institutions (P﹤0.001). Conclusion:Family income was not the main reason of health-seeking and treatment delays for newly smear positive tuberculosis patients in Zhenjiang. However, family income still had effect on diagnosis delay by choosing different medical institution initially visited.