<![CDATA[Health care system delay is Tuberculosis (TB) diagnosis delay which the first coming to health services until receiving Tuberculosis Drugs. It is caused by a history of previous antibiotic treatment, chest radiographic lesion, microscopic Acid Fast Bacilli (AFB) and Gen x-pert examination. The aim is to determine predictor factors of suspected TB patients based on antibiotics treatment history, chest radiography, AFB examination and Gene-x-pert that affect healthcare services delay. Medical records of 449 suspected TB patients are presented 2x2 table, to determine the relationship between several variables with TB delay. Characteristics of suspected TB patients are 35.6% adult, 59.9% male, 55.5% senior high school and 49.9% trader. They suffered comorbid diseases Congestive Heart Failure (CHF) 56.8%. Comorbid hypertension (p-value 0.02) and CHF (p-value 0.01) are significantly associated with TB delay. Suspected TB patients had using tuberculosis drugs history 82.4% and quinolone 5.8% were not associated with delayed TB. Time of radiological examination (p-value 0.049) and time of examination of AFB (p-value 0.000) were associated with TB delay. The predictor factors that influence Health Care System Delay TB are the time of radiological and microscopic AFB examination and TB suspected patients who have comorbid Congestive Heart Failure (CHF) and Hypertension.Health care system delay adalah keterlambatan diagnosis Tuberkulosis (TB) yang pertama kali datang ke pelayanan kesehatan sampai dengan menerima Obat Anti Tuberkulosis. Hal ini disebabkan oleh riwayat pengobatan antibiotik sebelumnya, lesi radiografi dada, mikroskopis Bakteri Tahan Asam (BTA) dan pemeriksaan Gen x-pert. Tujuan penelitian mengetahui faktor prediktor pasien suspek TB berdasarkan riwayat pengobatan antibiotik, foto toraks, pemeriksaan BTA dan Gene-x-pert yang mempengaruhi keterlambatan pelayanan kesehatan. Rekam medis dari 449 pasien suspek TB disajikan tabel 2x2, untuk mengetahui hubungan beberapa variabel dengan delay TB. Karakteristik pasien suspek TB adalah dewasa 35,6%, laki-laki 59,9%, SLTA 55,5% dan pedagang 49,9%. Mereka menderita komorbid Congestive Heart Failure (CHF) 56,8%. Komorbid hipertensi (nilai p 0,02) dan CHF (nilai p 0,01) secara signifikan berhubungan dengan delay TB. Pasien suspek TB memiliki riwayat penggunaan obat TB 82,4% dan kuinolon 5,8% tidak berhubungan dengan delay TB. Waktu pemeriksaan radiologi (nilai p 0,049) dan waktu pemeriksaan BTA (nilai p 0,000) berhubungan dengan delay TB. Faktor prediktor yang mempengaruhi Health Care System Delay TB adalah waktu pemeriksaan radiologis dan mikroskopis BTA , pasien suspek TB dengan komorbiditas Congestive Heart Failure (CHF) dan Hipertensi.]]>
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