Lönnroth K, Karlsson M, Lan N T N, Buu T N, Dieu T T N
Department of Social Medicine, Göteborg University, Göteborg, Sweden.
Int J Tuberc Lung Dis. 2003 Dec;7(12):1147-53.
Ho Chi Minh City, Vietnam.
To describe pharmacists' attitudes towards referring TB suspects to the National Tuberculosis Programme (NTP) and to evaluate the feasibility of a new referral system.
Use of a simple referral form was thought to be manageable by 72% of the pharmacists. Pharmacists identified a number of different types of risks associated with referral of TB suspects to the NTP; clients could turn to another pharmacy (61% of respondents); criticise the pharmacist if it appears that they do not have TB (42%); or remain untreated because they are not able to visit the NTP (41%). Fifty-eight (39%) of eligible pharmacies referred at least one client. At least 373 suspects were referred, 149 were tested and 10 had TB.
It is feasible to let pharmacies refer TB suspects. For there to be a significant impact on case detection, it is important to acknowledge a number of concerns expressed by pharmacists and attempt to change both clients' and providers' expectations with regard to the pharmacists' role.
越南胡志明市。
描述药剂师对将结核病疑似患者转诊至国家结核病防治规划（NTP）的态度，并评估一种新的转诊系统的可行性。
1）对150家私人药店进行问卷调查；2）对16名药剂师进行定性访谈；3）对新转诊表格的使用情况进行21个月的监测。
72%的药剂师认为使用简单的转诊表格是可行的。药剂师们指出了一些与将结核病疑似患者转诊至NTP相关的不同类型风险；客户可能会转向另一家药店（61%的受访者）；如果看起来没有患结核病，可能会批评药剂师（42%）；或者由于无法前往NTP而得不到治疗（41%）。58家（39%）符合条件的药店至少转诊了一名客户。至少373名疑似患者被转诊，149人接受了检测，10人患有结核病。
让药店转诊结核病疑似患者是可行的。为了对病例发现产生重大影响，认识到药剂师表达的一些担忧并试图改变客户和提供者对药剂师角色的期望很重要。
