Singla N, Sharma P P, Singla R, Jain R C
L.R.S. Institute of Tuberculosis and Allied Diseases, Sri Aurobindo Marg, New Delhi, India.
Int J Tuberc Lung Dis. 1998 May;2(5):384-9.
Random survey of knowledge, attitudes and practices (KAP) for tuberculosis among private practitioners (PPs) in Delhi, India, in 1995.
To investigate the KAP of private practitioners for tuberculosis in Delhi where the Revised National Tuberculosis Programme (RNTP) is being field tested.
A pre-tested questionnaire survey was performed among 204 doctors attending updates/seminars on tuberculosis in various parts of Delhi.
In a suspected case of tuberculosis, sputum examination was advised by only 12% of the PPs, while 89.5% would recommend chest X-ray. For treating tuberculosis 187 PPs were using 102 different regimens, and only 29.4% PPs were using the regimen recommended by the RNTP; 51.3% PPs were over-treating their patients. Only 23.5% of PPs requested sputum examination before the end of treatment, while 35.5% depended on X-ray clearance with clinical improvement. Only 19.5% of PPs emphasized the importance of regular treatment for their patients.
Among PPs there is marked reliance on X-ray; sputum examination is being neglected for initial diagnosis, treatment monitoring and as a criterion for stopping treatment. The majority of PPs are not aware of, or are not prescribing, the treatment regimen recommended by the RNTP, and the majority of patients are being over-treated. There is a lack of emphasis on proper health education. PPs need more training, and more collaborative efforts are required between public health facilities and practising doctors for national control of tuberculosis.
1995年在印度德里对私人执业医生进行结核病知识、态度和行为（KAP）的随机调查。
在正在进行国家结核病防治规划修订版（RNTP）现场测试的德里，调查私人执业医生对结核病的KAP。
对德里各地参加结核病更新/研讨会的204名医生进行了预先测试的问卷调查。
在疑似结核病病例中，仅12%的私人执业医生建议进行痰检，而89.5%的医生会建议进行胸部X光检查。在治疗结核病方面，187名私人执业医生使用102种不同的治疗方案，只有29.4%的私人执业医生使用RNTP推荐的方案；51.3%的私人执业医生对患者进行过度治疗。只有23.5%的私人执业医生在治疗结束前要求进行痰检，而35.5%的医生依赖X光检查结果及临床症状改善情况。只有19.5%的私人执业医生强调对患者进行规范治疗的重要性。
在私人执业医生中，对X光检查有明显依赖；痰检在初始诊断、治疗监测及作为停药标准方面被忽视。大多数私人执业医生不了解或未采用RNTP推荐的治疗方案，大多数患者接受了过度治疗。缺乏对适当健康教育的重视。私人执业医生需要更多培训，公共卫生机构与执业医生之间需要更多合作努力以实现全国结核病控制。
