2007-2011年金华市结核病归口管理实施情况及效果分析  

Centralized management of TB cases in Jinhua from 2007 to 2011

作　　者：胡跃强[1] 沈淑青 

机构地区：[1]浙江省金华市疾病预防控制中心,浙江金华321002

出　　处：《中国农村卫生事业管理》2013年第9期999-1001,共3页Chinese Rural Health Service Administration

摘　　要：目的:了解金华市近年来的结核病归口管理成果,探索更经济、更科学的结核病管理模式。方法:收集2007—2011年金华市结核病网报资料进行分析,从而得出结核病患者纳入归口管理的最佳模式,以建立长效归口管理的运行机制。结果:2007-2011年,金华市肺结核病人发现数由2007年的3 415例上升到2011年的3 775例,新发涂阳病人数由2007年的1 444例上升到2011年的1 499例;治愈率由2007年89.45%上升到2011年的94.31%,结核病控制项目工作稳中有升,全市实施肺结核病归口管理对肺结核病控制成效显著。结论:金华市通过强化DOTS策略,加强对结核病控制项目的卫生行政干预,实现了病人发现—转诊—全程治疗管理的模式,从而提高了结核病人的发现率和治愈率,促使全市结核病归口管理机制的落实。Objective To summarize the achievements of centralized management of tuberculosis（TB） recently in Jin- hua,and to explore a more economical and scientific management model of tuberculosis. Methods The statement data of tuberculosis （TB） from 2007 to 2011 were collected and analyzed to establish the optimized model and a long--term op- erating mechanism of centralized management. Results It was found that the number of tuberculosis patients increased from 3 415 cases in 2007 to 3 775 cases in 2011,the new smear positive cases from 1 444 in 2007 rose to 1499 in 2011 and the cure rate rose from 89.45% of 2007 up to 94.31~//00 of 2011. Thus,it was significantly effective to imply the centralized management of tuberculosis controlled the occurrence of tuberculosis. Conclusions The model of finding pa- tient- referral-- therapy and management in the whole range has been set up through strengthening DOTS strategy and health administrative intervention of tuberculosis control project in Jinhua city. And it increases the detection and cure rate of tuberculosis patients and promotes the implementation of centralized management mechanism of tuberculo- sis.

关 键 词：结核病 归口管理 成果分析 

分 类 号：R52[医药卫生—内科学]