CAJ | 학술논문

目的：分析定点医院结核病防治模式下满意度，为下一步改进定点医院结核病防治模式提供依据。方法随机抽取两县2012年完成治疗患者25名患者和14名医务人员进行问卷，分析调查结果。结果25名患者中，男16名，女9名，平均年龄（39.40±13.45）岁，患者满意度调查结果显示，患者满意度最高为“定点医院的技术水平”，其余依次为“定点医院医生对你所介绍的肺结核相关知识”、“对定点医院结核病门诊环境”、“对定点医院医护人员接诊服务态度”、“对定点医院就诊流程方便性”、“定点医院医生对你讲的肺结核知识对你坚持服药是否产生影响”等。14名医务人员对专报系统、督导、国家的免费政策等较为满意；但医院结防人员数量、工作负荷、培训等表示不满意的程度相对较高；50%医务人员认为患者接受医药费存在一定困难。结论结核病患者和医务人员对定点医院结核病防治模式总体比较认可，但仍需在降低患者治疗费用、加强医务人员培训、提高医务人员待遇和加强感染控制等方面进行改进。
목적：분석정점의원결핵병방치모식하만의도，위하일보개진정점의원결핵병방치모식제공의거。방법수궤추취량현2012년완성치료환자25명환자화14명의무인원진행문권，분석조사결과。결과25명환자중，남16명，녀9명，평균년령（39.40±13.45）세，환자만의도조사결과현시，환자만의도최고위“정점의원적기술수평”，기여의차위“정점의원의생대니소개소적폐결핵상관지식”、“대정점의원결핵병문진배경”、“대정점의원의호인원접진복무태도”、“대정점의원취진류정방편성”、“정점의원의생대니강적폐결핵지식대니견지복약시부산생영향”등。14명의무인원대전보계통、독도、국가적면비정책등교위만의；단의원결방인원수량、공작부하、배훈등표시불만의적정도상대교고；50%의무인원인위환자접수의약비존재일정곤난。결론결핵병환자화의무인원대정점의원결핵병방치모식총체비교인가，단잉수재강저환자치료비용、가강의무인원배훈、제고의무인원대우화가강감염공제등방면진행개진。
Objective To study the satisfaction of tuberculosis prevention in designated hospitals and provide the basis for the improvements of TB prevention. Methods 25 patients and 14 medical staff that were randomly selected from two counties in 2012 made the questionnaire. The survey results were analyzed. Result According to 25 patients (16 males and 9 females) that the average age was 39.40±13.45, the highest satisfaction for designated hospitals was “technological levels” and the resting items were “ doctors’ introduction for related knowledge of TB”,“environment of clinics”, “service attitude of clinical reception”, “convenience of medical process”, “whether the introduction of TB knowledge had an impact on the adherence of taking medicines”, etc. 14 medical staff were quite satisfied with report system, supervision and national policy of free service, etc; the higher dissatisfaction were the number of medical staff, workload, training, etc. 50% of medical staff thought that the patients faced some difficulties for medical fees.Conclusion The TB patients and medical staff are generally satisfied with TB preventions in designated hospitals. The factors including the reduction of treatment costs, enhanced training for medical staff, pays for medical staff and infection control shall be further improved.