台湾公民和非公民的结核病通报。

IF 3.4 3区医学 Q2 INFECTIOUS DISEASES

International Journal of Tuberculosis and Lung Disease Pub Date : 2024-07-01 DOI:10.5588/ijtld.23.0567

H-Y Lo, Y-C Huang, P-C Chan, C-C Lee, C-Y Chiang

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引用次数: 0

摘要

背景以前曾注意到非公民中结核病的通知率严重不足。自 2014 年起，以前被驱逐出境的患有结核病的外籍工人可以留下来接受抗结核治疗。我们利用国民健康保险（NHI）报销数据库来识别需要通报的潜在肺结核病例。我们将潜在肺结核病例与国家肺结核登记处进行比对，以确定他们是否已被通知。结果在 2016-2020 年确定的 53208 例潜在肺结核病例中，96.6% 的病例得到了通知。在公民中，通报比例从 2016 年的 95.5%增至 2020 年的 97.1%，在非公民中，通报比例从 2016 年的 89.0%增至 2020 年的 96.9%。在非公民中，与未通报明显相关的因素有：曾通报过肺结核（aOR 35.5，95% CI 17.7-70.9）、无医疗保险（aOR 15.4，95% CI 9.3-25.2）和 6 个月内只去过一次医疗机构（aOR 2.3，95% CI 1.4-3.8）。7 天内通报的肺结核病例比例总体为 87%，其中公民为 86.2%，非公民为 96.5%。

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TB notifications among citizens and non-citizens in Taiwan.

BACKGROUNDSubstantial under-notification of TB among non-citizens has been noted previously. Foreign workers with TB who were deported previously could stay for anti-TB treatment since 2014. We assessed whether TB notification improved.METHODSWe used the National Health Insurance (NHI) reimbursement database to identify potential TB cases that required notification. We matched potential TB cases with the national TB registry to determine whether they had been notified. Cases notified within 7 days of the initiation of anti-TB treatment were classified as having timely notification.RESULTSOf 53,208 potential TB cases identified in 2016-2020, 96.6% had been notified. The notification proportion increased from 95.5% in 2016 to 97.1% in 2020 among citizens and from 89.0% in 2016 to 96.9% in 2020 among non-citizens. Factors significantly associated with non-notification among non-citizens were previously notified TB (aOR 35.5, 95% CI 17.7-70.9), without health insurance (aOR 15.4, 95% CI 9.3-25.2) and having only one visit to health care facilities in 6 months (aOR 2.3, 95% CI 1.4-3.8). The proportion of TB cases notified within 7 days was 87% overall, 86.2% among citizens, and 96.5% among non-citizens.CONCLUSIONTB notification has improved, especially among non-citizens, following a policy change that allows foreign workers to stay for anti-TB treatment..

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来源期刊

International Journal of Tuberculosis and Lung Disease 医学-传染病学

CiteScore

4.90

自引率

20.00%

发文量

266

审稿时长

2 months

期刊介绍： The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.