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目的通过对山东省农村肺结核患者门诊费用及其影响因素分析,为控制门诊费用、减轻患者经济压力提供参考依据。方法采用多阶段分层整群抽样方法,调查36个乡镇,共819名肺结核患者;采用SAS9.1进行单因素和多因素分析。结果 819名农村肺结核患者门诊费用中位数为3300元,对农村患者造成了较高的经济压力;影响门诊费用的因素有性别、债务情况、确诊机构。结论应加强对农村肺结核患者尤其是女性患者的肺结核知识健康教育工作;提高基层医疗机构诊断肺结核疾病的能力,引导病人合理分流;重视对特别贫困患者的门诊服务利用费用补助。
Objective To analyze the outpatient costs and influencing factors of rural tuberculosis patients in Shandong Province and provide references for controlling outpatient costs and alleviating the economic pressure of patients. Methods A multistage stratified cluster sampling method was used to investigate 36 towns and townships with a total of 819 pulmonary tuberculosis patients. SAS9.1 was used for univariate and multivariate analysis. Results The median cost of outpatient services for 819 rural patients with pulmonary tuberculosis was 3,300 yuan, which caused high economic pressure on rural patients. The factors affecting the outpatient costs were gender, debt situation and diagnosis. Conclusions Health education should be strengthened for tuberculosis patients in rural tuberculosis patients, especially in female patients; to improve the ability of primary medical institutions to diagnose tuberculosis and to guide the patients to divert their bloodstream appropriately; and to pay more attention to the outpatient service utilization subsidies for patients with special poverty.