| 引用本文：陶韬,姜世闻,万利亚,等.中国农村地区医务人员肺结核报病奖励政策知晓率和满意度分析[J].中国卫生政策研究,2010,3(10):43-48 |
|
| 中国农村地区医务人员肺结核报病奖励政策知晓率和满意度分析 |
| 投稿时间：2010-06-22 修订日期：2010-08-31 PDF全文浏览 HTML全文浏览 |
| 陶韬1, 姜世闻2, 万利亚3, 张联英4, 马永成5, 许卫国6, 马丽萍7, 徐飚1, 赵琦1 |
| 1.复旦大学公共卫生学院公共卫生安全教育部重点实验室;2.中国疾病预防控制中心结核病预防控制中心;3.卫生部疾病控制局;4.河北省疾病预防控制中心;5.青海省疾病预防控制中心;6.江苏省疾病预防控制中心;7.河南省疾病预防控制中心 |
| 摘要: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。 |
| 关键词:结核病 报病奖励 知晓率 满意度 |
| 基金项目:全球基金实施性研究项目（编号：TB07 038）；国家科技重大专项（编号：2009ZX10003 017） |
|
| Analysis on the awareness and satisfactory degree of health care providers towards the pulmonary tuberculosis case referral subsidy policy |
|
| 1.School of Public Health of Fudan University, Key Laboratory for Public Health Safety of Minister of Education;2.National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention;3.Department of Disease Control, Minister of Health;4.Hebei Provincial Center for Disease Control and Prevention;5.Qinghai Provincial Center for Disease Control and Prevention;6.Henan Provincial Center for Disease Control and Prevention |
| Abstract:Objective: This paper is to explore the awareness and satisfactory level of health workers towards the pulmonary TB case referral subsidy policy, so as to provide scientific evidence for the assessment of this policy. Methods： 8 counties of 4 provinces were selected as study locations. Questionnaire investigation was conducted among health care providers involved in TB case referral process in different areas and with differences working levels to obtain their awareness rate and satisfactory rate towards the policy. Results: The average awareness rate and correct response rate of study subjects were 85.8% and 84.5% respectively. There were significant differences among different level health care providers（P=0.022）and different provinces (P<0.001). The general satisfactory rate of health care providers was 80.9%, while the satisfactory rates towards policy implementation and reward amount were 80.7% and 61.4% respectively. Local financing strategy, education level and working level of health workers, regional disparity were factors influencing the policy satisfactory rate. Conclusion: Chinese TB control program should adjust the subsidy amount and establish a proper distribution mechanism of TB case referral according to practical situations of health workers with different working levels and in different areas, as well as the financing ability of local government, so as to improve TB case detection rate. |
| Key words:Tuberculosis Referral subsidy Awareness rate Satisfactory rate |
| 摘要点击次数: 3441 全文下载次数: 2736 |
|
|
