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目的了解上海市外来流动人口肺结核病人接受减免治疗的情况及其影响因素,为降低流动人口肺结核病人丢失率、提高治愈率提供依据。方法选择上海市不同社会经济发展水平和自然地理条件的6个区,调查采用目的性非概率性抽样方法,对34名流动人口肺结核病人进行个人深入访谈。结果流动人口肺结核病人确诊前就医行为不一,延迟诊断者诊断费用支出较大。流动人口在上海治疗结核病费用较高,面临着生活和治疗上双重的经济困难。部分流动人口病人患病前缺乏对结核病相关知识和减免政策的了解,对患病和减免报销持不同态度。结论流动人口在上海诊断和治疗肺结核病面临着巨大的经济困难,减免治疗政策的作用极为有限,政府有待进一步加强对综合医疗机构的管理,同时加大对流动人口的经济支持以帮助其完成治疗。
Objective To understand the situation and influential factors of pulmonary tuberculosis patients receiving treatment for relief from floating population in Shanghai and to provide basis for reducing the rate of pulmonary tuberculosis patients’ loss and improving the cure rate. Methods Six districts with different levels of socio-economic development and physical and geographical conditions in Shanghai were selected to conduct a personal in-depth interview with 34 floating population pulmonary tuberculosis patients using a purposive non-probabilistic sampling method. Results The migrant population of TB patients were diagnosed with different medical behaviors before diagnosis, and the diagnostic cost of delayed diagnosis was significantly higher. Floating population is at a higher cost to treat tuberculosis in Shanghai and faces double economic and social difficulties in life and treatment. Part of the floating population of patients before the onset of lack of understanding of tuberculosis-related knowledge and policies to reduce the understanding of sickness and reimbursement reimbursement take a different attitude. Conclusions Floating population is facing huge economic difficulties in diagnosing and treating pulmonary tuberculosis in Shanghai. The role of the relief and treatment policy is extremely limited. The government needs to further strengthen the management of the general medical institution and at the same time increase the financial support to the floating population to help them complete the treatment .