创建山东省结核病预防控制工作规范县的效果分析  

The effect analysis of building the Shandong standardized county for tuberculosis prevention and control

作　　者：郭肖岩[1] 李芳[1] 王宇[1] 金瑾[1] 宋春燕[1] 

机构地区：[1]山东省结核病防治中心预防控制科,济南250101

出　　处：《中国防痨杂志》2012年第9期560-566,共7页Chinese Journal of Antituberculosis

摘　　要：目的总结山东省结核病预防控制工作规范县创建活动的效果。方法依据《结核病预防控制工作规范》(简称《规范》)制定《山东省结核病预防控制工作规范县标准》(简称"标准"),38个山东省结核病防治示范县中,由县级卫生行政部门自愿申报,市级卫生行政部门初审,省卫生厅审核同意,最终确定19个县(市、区)为规范县创建单位。省级提供经费支持与业务指导,县级按照《标准》要求规范结核病控制工作,通过省卫生厅考核验收,打造符合《规范》要求的"规范县"。结果19个创建单位中,17个已获得"规范县"命名。获得命名的"规范县"县级配套结核病防治经费均已达到全人口人均0.3元以上(未获得"规范县"命名的2个县未达到全人口人均0.3元以上);人员配备符合《规范》要求,县级结核病防治机构至少有8名有经验的专业技术人员,超过40万人口的县区,人口每增加5万技术人员增加1名;初诊患者占总人口的比例基本达到300/10万以上,摄X线胸片率和查痰率基本达到100%,新涂阳患者治愈率保持在85%以上,非结核病防治机构报告患者总体到位率达到90%以上。结论通过"规范县"创建活动,基层结核病防治机构的能力得到了全面提高,为更好地开展结核病控制工作奠定了基础。Objective To describe the effect of normative county establishment activity of the tuberculosis prevention and control in Shandong.Methods The standard for normative county was developed according to ＂the tuberculosis prevention and control normative＂.The county health administration of 38 demonstration counties volun-teered to make application,health administration at prefecture level reviewed primarily and the provincial health bureau approved,19 counties were determined as establishment units finally.Financial support and technical guide were provided by the provincial TB control center.The county TB dispensaries standardized the TB control work according to the standard,those passed examination of the provincial health bureau became ＂normative county＂.Results In the 19 establishment units,17 units are approved to be ＂normative county＂.The TB control funding of these counties has come up to more than 0.3 yuan per capita.The number of professional staffs also meets the standard of the normative.The proportion of the patients for first visit in the whole population has almost reached 300/100 000.The rates of taking X-ray and sputum test have reached 100%.The cure rate of new smear positive patients remains at 85% and above.The total arrival rate of non TB institutes has reached 90% and above.Conclusion The professional proficiency of the basic organizations of TB control has been generally improved and the foundation of better TB control work has been laid through the establishment activity.

关 键 词：结核/预防和控制 预防卫生服务 规范 山东省 

分 类 号：R52[医药卫生—内科学]