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目的:探讨中国农村地区医务人员对肺结核报病奖励政策的了解和满意程度,为政策的实施效果评价提供科学依据。方法:选取中国4个省的8个县区为研究现场,采用问卷调查方法调查不同工作层面的医务人员对报病奖励政策的知晓率和满意度,并分析其影响因素。结果:研究对象的报病奖励政策平均知晓率、正确应答率分别为85.8%和84.5%,不同级别医疗机构医务人员知晓率(P=0.022)、不同省份医务人员(P<0.001)知晓率差别有统计学意义;研究对象对政策总体满意度为80.9%,其中实施效果、奖励额度的满意度分别为80.7%和61.4%,两者差异有统计学意义(P<0.001)。地方筹资方式、医务人员的文化程度、工作层面和地区差异是影响政策满意度的因素。结论:中国结核病控制项目应当根据不同地区、不同级别医务人员的实际情况,适当调整、提高肺结核报病奖励额度,明确其分配方式,提高结核病人发现率。
Objective: To explore the understanding and satisfaction of medical personnel in rural areas of China for the policy of rewarding and reporting tuberculosis, and to provide a scientific basis for the evaluation of the implementation effect of the policy. Methods: Eight county districts in 4 provinces of China were selected as research sites. Questionnaires were used to investigate the awareness rate and satisfaction of medical staffs on different working levels in reporting rewarding policies and their influencing factors. Results: The average rate of awareness and the correct response rate of the reported objects was 85.8% and 84.5% respectively. The awareness rate of medical staff in different medical institutions (P = 0.022) and the difference of medical staff in different provinces (P <0.001) The satisfaction degree of the research object to the policy was 80.9%. The satisfaction degree of the implementation effect and reward quota were 80.7% and 61.4% respectively, the difference was statistically significant (P <0.001). Local financing methods, medical staff’s educational level, work level and regional differences are the factors influencing policy satisfaction. Conclusion: China’s tuberculosis control project should adjust and increase the quota for reporting of tuberculosis according to the actual situation of medical staff in different regions and different levels, clarify the distribution method and increase the detection rate of tuberculosis patients.