Abstract:

Objective: To analyze the utilization and influencing factors of the Easy Supervision Intelligent Management System (abbreviated as “Easy Supervision System”) following its comprehensive implementation in Ordos City. Methods: A retrospective study was conducted, data of 1034 patients with active pulmonary tuberculosis registered in Ordos City from 2023 to 2024, along with their records of using the Easy Supervision System were extracted from the “Tuberculosis Information Management System” —a subsystem of the “China Disease Prevention and Control Information System” —based on inclusion criteria. A logistic regression model was applied to analyze the utilization of the Easy Supervision System and its influencing factors among pulmonary tuberculosis patients. Results: From 2023 to 2024, among the 1034 registered pulmonary tuberculosis patients in Ordos City, 926 patients used Easy Supervision System for tuberculosis treatment management, yielding a utilization rate of 89.56%. The utilization rates in 2024 for the city overall (95.08% (502/528)), Dongsheng District (99.25% (133/134)), and Dalad Banner (100.00% (123/123)) were significantly higher than those in 2023 (83.79% (424/506), 68.60% (83/121), and 89.93% (125/139), respectively), with statistically significant differences (χ² values of 33.155, 46.134, and 13.088, respectively; all P<0.001). The corresponding increases in utilization rates were 13.47%, 44.68%, and 11.20%. Multivariate logistic regression analysis showed that patients aged 60-79 years and ≥80 years were 4.288 (1.887-9.742) times and 4.214(1.548-11.470) times more likely to use the Easy Supervision System, respectively, compared to those aged <40 years. Patients from other ethnicities were 2.536 (1.363-4.718) times more likely to use the Easy Supervision System than Han patients. Patients identified through referral and follow-up were 2.317 (1.517-3.540) times more likely to use the Easy Supervision System compared to those who sought medical attention due to symptoms. Conclusion: Most pulmonary tuberculosis patients and primary healthcare doctors in various banners/districts of Ordos City show a preference for using the Easy Supervision System. Following further refinement and optimization, efforts should be strengthened to further promote the use of these tools among populations with lower utilization rates.

Key words: Tuberculosis, pulmonary, Disease management, Digital adherence technology, Electronic pillboxes, Mobile WeChat, Factor analysis, statistical