ANALYSIS OF CASE-FINDING PROCESS OF TUBERCULOSIS IN KOREA
ANALYSIS OF CASE-FINDING PROCESS OF TUBERCULOSIS IN KOREA
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DOI：
10.1016/0962-8479(92)90091-w
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发表时间：
1992-08-01
期刊：
影响因子：
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通讯作者：
KIM, SJ
中科院分区：
文献类型：
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作者：
MORI, T;SHIMAO, T;KIM, SJ
对韩国卫生中心新登记的 630 名肺结核患者进行了访谈，以确定他们的病例发现过程。四分之一的病例有结核病史。这些复治病例中约70%的治疗时间不足1年，这表明治疗期间更彻底随访的重要性。几乎所有病例都具有至少一种标准症状，其中疲劳最常见，其次是咳嗽和咳痰。患病后，约 40% 的病例在寻求家人以外的人（如朋友或卫生工作者）的建议后寻求医疗帮助。一半的患者首先去了健康中心，三分之一的患者去了私人诊所。从出现症状到初次就医之间的平均时间为1.8个月（患者的延误）。在农村地区，这种延迟时间更长；除了位置之外，没有其他患者特征与患者的延误有任何相关性。近 80% 的病例在最初 2 周内被诊断为结核病。卫生中心诊断病例的速度比私人诊所快，因此医生的延误时间也较短。平均总延误时间（患者延误加上医生延误）为 2 个月，其中 80% 是患者延误。
A total of 630 pulmonary tuberculosis patients newly registered with the health centres in the Republic of Korea were interviewed to determine their process of case-finding. One-quarter of the cases had a previous history of tuberculosis. About 70% of these retreatment cases had been treated for less than 1 year, indicating the importance of more thorough follow-through during treatment.Almost all of the cases had at least one standard symptom, with fatigue being most frequent, followed by cough and sputum. On developing the illness, about 40% of the cases were motivated to seek medical help after seeking advice from people other than family members such as friends or health workers. Half of the patients first went to the health centre, and one-third to a private clinic.The average time between the onset of symptoms and the initial medical consultation was 1.8 months (patient's delay). This delay is longer in the rural areas; besides location no other patient characteristics had any correlation with patient's delay. Nearly 80% of all cases were diagnosed as tuberculous within the first 2 weeks. Health centres diagnosed cases faster than private clinics and thus had a shorter doctor's delay. Mean total delay (patient's delay plus doctor's delay) was 2 months, with 80% of this being patient's delay.