- 作者：Meredith Deutscher ; Chris Van Beneden ; Deron Burton ; Alvin Shultz ; Oliver W. Morgan ; Shadi Chamany ; Hannah T. Jordan ; Xingyou Zhang ; Brendan Flannery ; Daniel R. Feikin ; Beatrice Olack ; Kim A. Lindblade ; Robert F. Breiman ; Sonja J. Olsen
- 关键词：Pneumonia ; Comparative study ; Patient acceptance of health care ; Population surveillance ; Health care
- 刊名：Journal of Epidemiology and Global Health
- 出版年：2012
- 出版时间：June, 2012
- 年：2012
- 卷：2
- 期：2
- 页码：73-81
- 全文大小：314 K
Background
Surveillance is essential to estimating the global burden of pneumonia, yet differences in surveillance methodology and health care-seeking behaviors limit inter-country comparisons.Methods
Results were compared from community surveys measuring health care-seeking for pneumonia defined as: (1) cough and difficulty breathing for ?2 days; or, (2) provider-diagnosed pneumonia. Surveys were conducted in six sites in Guatemala, Kenya and Thailand; these sites also conduct, active, hospital- and population-based disease surveillance for pneumonia.
Results
Frequency of self-reported pneumonia during the preceding year ranged from 1.1 % (Thailand) to 6.3 % (Guatemala) and was highest in children aged <5 years and in urban sites. The proportion of persons with pneumonia who sought hospital-based medical services ranged from 12 % (Guatemala, Kenya) to 80 % (Thailand) and was highest in children <5 years of age. Hospitals and private provider offices were the most common places where persons with pneumonia sought health care. The most commonly cited reasons for not seeking health care were: (a) mild illness; (b) already recovering; and (3) cost of treatment.
Conclusions
Health care-seeking patterns varied widely across countries. Using results from standardized health care utilization surveys to adjust facility-based surveillance estimates of pneumonia allows for more accurate and comparable estimates.