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Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups
Zhang, Tuohong; Tang, Shenglan; Jun, Gao; Whitehead, Margaret
刊名BMC PUBLIC HEALTH
2007-02-08
DOI10.1186/1471-2458-7-19
7
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health
关键词[WOS]TUBERCULOSIS-CONTROL ; SHANDONG ; COUNTIES ; SYSTEM ; DELAYS ; DOTS
英文摘要

Background: Large-scale Tuberculosis ( TB) control programmes in China have been hailed a success. Concerns remain, however, about whether the programme is reaching all sections of the population, particularly poorer groups within rural communities, and whether there are hidden costs. This study takes a household perspective to investigate receipt of appropriate care and affordability of services for different socio-economic groups with TB symptoms in rural China.

Methods: Secondary analysis of Chinese National Household Health Survey for 2003: 40,000 rural households containing 143,991 individuals, 2,308 identified as TB suspects. Outcomes: use of services and expenditure of TB suspects, by gender and socio-economic position, indicated by household income, education, material assets, and insurance status.

Results: 37% of TB suspects did not seek any professional care, with low-income groups less likely to seek care than more affluent counterparts. Of those seeking care, only 35% received any of the recommended diagnostic tests. Of the 182 patients with a confirmed TB diagnosis, 104 (57%) received treatment at the recommended level, less likely if lacking health insurance or material assets. The burden of payment for services amounted to 45% of annual household income for the low-income group, 16% for the high-income group.

Conclusion: Access to appropriate, affordable TB services is still problematic in some rural areas of China, and receipt of care and affordability declines with declining socio-economic position. These findings highlight the current shortcomings of the national TB control programme in China and the formidable challenge it faces if it is to reach all sections of the population, including the poor with the highest burden of disease.

语种英语
WOS记录号WOS:000244662600001
引用统计
被引频次:52[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58348
专题北京大学公共卫生学院
作者单位1.Minist Hlth, Ctr Hlth Stat & Informat, Beijing, Peoples R China
2.Peking Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Beijing 100083, Peoples R China
3.Univ Liverpool, Liverpool Sch Trop Med, Int Hlth Grp, Liverpool L3 5QA, Merseyside, England
4.Univ Liverpool, Div Publ Hlth, Sch Populat Community & Behav Sci, Liverpool L69 3GB, Merseyside, England
推荐引用方式
GB/T 7714
Zhang, Tuohong,Tang, Shenglan,Jun, Gao,et al. Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups[J]. BMC PUBLIC HEALTH,2007,7.
APA Zhang, Tuohong,Tang, Shenglan,Jun, Gao,&Whitehead, Margaret.(2007).Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups.BMC PUBLIC HEALTH,7.
MLA Zhang, Tuohong,et al."Persistent problems of access to appropriate, affordable TB services in rural China: experiences of different socio-economic groups".BMC PUBLIC HEALTH 7(2007).
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