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目的:了解山东省肺结核患者确诊费用情况,并分析其影响因素,为患者规范诊疗提供参考依据,降低肺结核患者的确诊费用。方法:采用分层整群随机抽样方法,抽取山东省共6个县(区),对其境内所有肺结核患者进行问卷调查。结果:山东省肺结核患者确诊费用的中位数为500.00元,单因素结果显示患者在文化程度、当地经济状况、初诊单位、初次诊断和确诊单位(共5个因素)上的差异具有统计学意义,初诊间隔、确诊间隔和就诊次数与确诊费用存在相关关系。多因素结果显示,初诊单位、初次诊断的结论,确诊时间和确诊单位对于肺结核患者的就诊费用的影响具有统计学意义。结论:加强对乡村医生结核病相关知识的培训,减少患者的就诊次数,有效降低肺结核患者的疾病负担。
Objective: To understand the diagnosis of pulmonary tuberculosis patients in Shandong Province, and analyze its influencing factors, provide a reference for patients to standardize diagnosis and treatment to reduce the diagnosis of tuberculosis patients. Methods: A stratified cluster random sampling method was used to select 6 counties (districts) in Shandong Province to conduct a questionnaire survey on all TB patients in their territory. Results: The median cost of diagnosing pulmonary tuberculosis patients in Shandong Province was 500.00 yuan. The single factor results showed that there was significant difference in the educational level, local economic status, initial diagnosis unit, initial diagnosis and definite diagnosis unit (total 5 factors) , The interval of initial diagnosis, the interval of diagnosis and the number of visits and the cost of diagnosis are related. Multivariate results showed that the impact of the newly diagnosed units, the conclusions of the initial diagnosis, the time of diagnosis and the diagnosed units on the treatment costs of tuberculosis patients were statistically significant. Conclusion: To strengthen the training of village doctors on tuberculosis-related knowledge, reduce the number of visits to patients, and effectively reduce the burden of disease in patients with tuberculosis.