诊治与管理分开的模式对县级结核病防治工作影响  

Analysis of Effect of the Mode that Diagnosis,Treatment and Management Are Separated on Preventing and Controlling Tuberculosis in County-level Cities

作　　者：王芳[1] 

机构地区：[1]宣城市疾病预防控制中心,安徽宣城242000

出　　处：《安徽预防医学杂志》2009年第1期13-14,共2页Anhui Journal of Preventive Medicine

摘　　要：目的探讨对结核病人诊治与管理分开的模式,对县级结核病防治工作的影响。方法对宁国市实行综合性医院与疾控中心共同完成结核病防治项目的前后两年的资料进行分析。结果实施后结核病定点门诊初诊病人数增加了9.4%,其中主动到定点门诊就诊的可疑结核病人增加了71.60%,项目病人丢失率下降了57.14%;实施前该市人民医院一家的转诊到位数占全部非结防机构转诊到位数的39.72%,病人习惯于首诊到公立的综合性医院。结论县级公立的综合性医院承担结核病人诊治,疾控中心负责管理,能充分利用卫生资源,有利于县级结核病防治工作。Objective To explore the influence of the mode of tuberculosis prevention and control in county - level cities, with diagnosis, treatment and management separated. Methods The data in one year before and after the tuberculosis project jointly cooperated by CDC and the general hospital in Ninggno City were analyzed. Results ： The number of newly di- agnosed patients increased by 9.4% in the assigned tuberculosis outpatient department after the tuberculosis project, the number of the patients who were initiative to see doctors increased by 71.60%. The loss rate of patients under the management of tuberculosis project fell by 57.14%. Before the tuberculosis project, the number of tuberculosis - suspected patients who were transferred to the assigned tuberculosis outpatient department only by the City People Hospital, accounted for 39.72%, patients were used to seeing doctors for the first time in general hospital. Conclusions Patients were diag- nosed and treated by county - level general public hospitals and managed by the CDC. The mode could make the health resources to full use and helpful to tuberculosis prevention and control in eounty- level cities.

关 键 词：肺结核 预防和控制 县级综合性医院 

分 类 号：R521[医药卫生—内科学]