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论专科医院模式下影响结核病归口管理的因素

Evaluating the Influencing Factors of TB Centralized Management in the Specialist Model

【Author in Chinese】 阴佳魏晓林孙强张修磊牛慧波邹冠炀

【Author】 YIN Jia,WEI Xiao-lin,SUN Qiang,et al.Project Office Based in China,Nuffield Centre for International Health and Development,University of Leeds,Shenzhen 518003,China

【Institution】 英国利兹大学纳菲尔德国际卫生与发展中心驻中国项目办公室香港中文大学山东大学卫生管理与政策研究中心山东省结核病防治中心

【Abstract in Chinese】 为了解专科医院模式下影响结核病归口管理的因素,2008年在山东省两个县区对每县50例初治肺结核患者及10名当地卫生服务提供者进行了调查。发现专科医院模式下结核病归口管理受到结防机构与专科医院的沟通机制、医保政策、患者信任度和内外监管等因素影响。该模式下患者存在经济负担重、耐药风险大等问题。

【Abstract】 In order to understand the influencing factors of TB centralized management in the specialist model,an investigation was carried out in two counties of Shandong province in 2008.50 new TB patients and 10 local health providers were surveyed in each county respectively.It was found that TB centralized management in the specialist model was influenced synthetically by communication mechanism between TB dispensary and the TB specialist hospital,the policy of health insurance,trust from TB patients,as well as effective monitoring systems both inside and outside the TB special hospital and so on.The study also revealed that patients in the specialist model suffered a lot from heavy financial burden,high risk of drug resistance relating to the high rates of hospitalization and usage of the second-line anti-TB drugs.

【Keywords in Chinese】 结核病专科医院归口管理
【Key words】 tuberculosisTB special hospitalcentralized management
【Fund】 英国国际发展署传染病研究项目“中国结核病医防合作方式研究”,项目编号:RGNUFF 460859
  • 【CLC code】R197.3
  • 【Downloads】56
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