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目的了解张家港市流动人口中结核病例的基本特征和治疗情况,为更有效地开展流动人口结核病防治工作提供方向和重点。方法以张家港市为研究现场,随机抽取123名2011-2012年确诊的流动人口肺结核病例,使用统一设计的调查问卷进行调查。结果调查对象的结核基本知识的完全知晓率为22.76%,患者对肺结核的治愈情况、症状、免费政策的知晓率较高,分别为89.43%、86.99%、83.74%。调查对象普遍缺乏医疗保障,以自费为主(占43.09%),其次为新农合(占34.96%)。医疗费、日常饮食支出占了收入的60.56%。35.77%的病人在患病后返乡治疗。结论应重视流动人口的宣传教育;进一步加大流动人口医疗保障力度,提高新农合医保报销支付比例;转出治疗仍然是个突出的问题,要通过信息化手段来落实流动人口的结核病管理。
Objective To understand the basic characteristics and treatment of tuberculosis cases among floating population in Zhangjiagang City and provide direction and emphasis for carrying out prevention and control of tuberculosis in floating population more effectively. Methods Taking Zhangjiagang as a research site, 123 cases of TB cases of migrant population confirmed from 2011 to 2012 were randomly selected and investigated with a unified design questionnaire. Results The rate of complete awareness of the basic knowledge of tuberculosis was 22.76%. The rate of knowing about the cure, symptom and free policy of tuberculosis was 89.43%, 86.99% and 83.74% respectively. Survey object generally lack of medical security, at their own expense (43.09%), followed by NRCMS (34.96%). Medical expenses, daily diet expenditures accounted for 60.56% of revenue. 35.77% of patients returned to their hometown after illness. Conclusions Publicity and education of floating population should be paid more attention to. More efforts should be made to increase the medical security for floating population and increase the proportion of reimbursement paid by new rural cooperative medical insurance. Switching out of treatment remains a prominent issue. Information management should be used to implement tuberculosis management among floating population.