城市结核病控制中的问题与对策的案例研究  

Case Study on Problems and Countermeasure of Tuberculosis Control in Cities

作　　者：竺丽梅[1] 李朋[2] 詹绍康[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市闸北区疾病预防控制中心

出　　处：《中国预防医学杂志》2006年第3期166-169,共4页Chinese Preventive Medicine

基　　金：英国利物浦大学EQUI-TB KNOWLEDGEPROGRAMME资助

摘　　要：目的深入地分析上海市结核病诊断治疗和管理中存在的问题,为防制决策服务。方法对上海市某区疾病预防控制中心1999-2003年期间的日常结核病报表资料进行分析。结果暂住人口结核病登记率低于本地人口,暂住人口结核病患者诊断后失访率远高于本地人口,已知治愈率远低于本地人口。暂住人口结核病患者中痰菌阳性的比例高,绝大部分是自费医疗,暂住人口大部分病人首诊不在定点医院。暂住人口结核病的防治管理亟待改善。结论要进一步控制城市的结核病流行,除了要在提高结核病发现率方面采取措施外,更重要的是改善暂住人口的结核病患者管理和规范治疗,同时户籍人口的结核病患者的诊断治疗管理也有待改善。Objective To identify problems in TB control in shanghai and provide information for further policy making in TB control. Methods Quantitative data were collected from the routinely registered data on TB patients of both internal migrants and permanent residents during the period of 1999 to 2002. Results The new registration rate of internal migrants was lower than permanent residents. Much higher proportion of TB cases lost follow up and much lower cure rate in internal migrants compared with tire pemament residents.The proportion of S＋/C＋ in migrant TB cases was higher than resident cases. Most ofthe migrants TB cases paid medical fee out ofpocket and most of them didn＇ t first visit in the appointed hospital. Urgent improvements were needed in the cure management of internal migrants. Conclusion Not only taking measures to increase the TB notification rate but also improving TB management and normative treatment in migrants is very important to improve TB control in cities. Improvements in TB control in residents are also needed.

关 键 词：结核病 控制 暂住人口 新登记率 管理 

分 类 号：R52[医药卫生—内科学] R197.2[医药卫生—临床医学]