Botha E, Den Boon S, Verver S, Dunbar R, Lawrence K-A, Bosman M, Enarson D A, Toms I, Beyers N
Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Stellenbosch University, Tygerberg, South Africa.
Int J Tuberc Lung Dis. 2008 Jul;12(7):820-3.
A study in 11 primary health care facilities in and around Cape Town determined the proportion of bacteriologically confirmed tuberculosis (TB) cases who did not start treatment (initial default) and identified reasons for it. Databases from centralised laboratories were compared with electronic TB treatment registers. Fourteen per cent (373/2758) of TB suspects were TB cases. Of the 58 (16%) initial defaulters, 14 (24%) died, while 26 (45%) could not be interviewed for address-related reasons. The 18 subjects who were interviewed indicated reasons for initial default that were (56%) or were not (44%) directly linked to services. High initial default rates require improvement in the quality of health services.
一项针对开普敦及其周边11家初级卫生保健机构的研究，确定了细菌学确诊的结核病（TB）患者中未开始治疗（初次违约）的比例，并找出了原因。将集中实验室的数据库与电子结核病治疗登记册进行了比较。14%（373/2758）的结核病疑似患者确诊为结核病患者。在58名（16%）初次违约者中，14名（24%）死亡，而26名（45%）因地址相关原因无法接受访谈。接受访谈的18名受试者指出，初次违约的原因与服务直接相关的占（56%），不直接相关的占（44%）。高初次违约率需要提高卫生服务质量。
