福建省实施新型结核病防治服务体系试点探讨  

Pilot study on implementing new tuberculosis control service system in Fujian,China

作　　者：陈求扬[1] 戴志松[1] 杜永成[1] 

机构地区：[1]福建省疾病预防控制中心,福州350001

出　　处：《海峡预防医学杂志》2013年第4期5-7,14,共4页Strait Journal of Preventive Medicine

基　　金：福建省自然科学基金(No.2010J01116)

摘　　要：目的探讨福州和厦门市实施新型结核病防治服务体系("三位一体"防治模式)试点工作成效。方法分析2009-2010年10个县区肺结核患者报告登记情况,患者转诊、追踪、到位情况以及治疗队列,评价工作成效及薄弱环节。结果福州和厦门市试点活动性肺结核患者年均登记率61.62/10万和94.02/10万,其中涂阳和新涂阳登记率分别为30.81/10万、27.88/10万和37.68/10万、30.79/10万,3者均达到或超过全省同期平均水平;2个市本区域内患者转诊率97.8%、97.6%,转诊到位率15.2%、41.2%,总体到位率91.8%、96.4%(同期全省平均分别为96.7%、42.5%、92.7%);2个市试点医院新涂阳和涂阳患者治愈率均达到90%以上。结论政策支持与经济补偿是顺利实施新型结核病防治服务体系建设的重要前提。Objective To analyze the effect of pilot study on implementing the new pulmonary tuberculosis（TB）control service system（＂three-in-one＂control mode）in Fujian.Methods TB reporting patients in 10counties from 2009to 2010 were analyzed,referral,tracking,arrival and treatment cohort analysis were carried out in the region,the effectiveness and problems of new control service system were evaluated.Results The register rates of active TB in Fuzhou and Xiamen were 61.62/105 and 94.02/105 respectively,the smear positive rates were 30.81/105 and 37.68/105 respectively,the new smear positive rates were 27.88/105 and 30.79/105.The rates reached or exceed the average levels in the same period of Fujian.The patient referral rates of two cites were 97.8%and 97.6%,referral arrival rates were 15.2%and 41.2%,the overall arrival rates were 91.8%and 96.4%（the average rates of Fujian were 96.7%,42.5% and 92.7% in the same period）.The cure rates of new smear positive and smear positive patients in two pilot hospitals were more than 90%.Conclusion The government support and economic compensation are very important for the implementation of new TB control service system.

关 键 词：结核病 疾病控制 定点医院 新型TB防治模式 

分 类 号：R52[医药卫生—内科学]