Institute of Social Medicine and Health Services Management, School of Public Health, Shandong University, Jinan, China.
Int J Tuberc Lung Dis. 2010 Apr;14(4):440-6.
Tuberculosis (TB) control in rural China is of high priority in health policy making.
To investigate treatment success among rural TB patients and the determinants of patient and case management and to explore the current status of DOTS implementation in rural China.
A patient-based study was conducted in six counties of Shandong Province, China. Study sites were selected by multi-stage random sampling. Subjects were rural smear-positive pulmonary TB patients registered with the county TB dispensaries at study sites who completed treatment during the period October 2006 to September 2007.
This study observed a success rate of 74.5% among 501 participants. The cure rate, of 50.5%, was much lower than the national level. There was a difference in treatment success rates across counties. Factors independently affecting treatment success were patient income, study site, and home visits and supervision by town and village health workers.
Enhancing financial resources for TB control and effective involvement of human resources are crucial to achieving success with the DOTS strategy in rural China.
在中国农村，结核病（TB）控制是卫生政策制定的重中之重。
调查农村结核病患者的治疗成功率以及患者和病例管理的决定因素，并探讨中国农村 DOTS 实施的现状。
在中国山东省的六个县进行了一项基于患者的研究。研究地点通过多阶段随机抽样选择。研究对象为 2006 年 10 月至 2007 年 9 月期间在研究地点的县结核病门诊登记并完成治疗的农村涂片阳性肺结核患者。
本研究观察了 501 名参与者中的成功率为 74.5%。治愈率为 50.5%，远低于全国水平。各县的治疗成功率存在差异。独立影响治疗成功率的因素是患者收入、研究地点以及乡镇和村卫生工作者的家访和监督。
加强结核病控制的财政资源和有效人力资源的参与，对于在中国农村实现 DOTS 战略的成功至关重要。
