合肥市结核病定点医院结防工作现状及影响因素分析  

Analysis of the current working situation and influencing factors in TB hospitals of Hefei city

作　　者：张洁莹[1] 王莉丽[1] 钱冰[1] 曹红[1] 张欢[1] 

机构地区：[1]合肥市疾病预防控制中心,安徽合肥230061

出　　处：《安徽预防医学杂志》2015年第5期318-321,共4页Anhui Journal of Preventive Medicine

摘　　要：目的了解新型结核病防治服务体系中结核病定点医院结防工作现状,并分析影响其工作质量的主要因素。方法根据现场调查、每月报表和季度督查结果,对合肥市5家结核病定点医院结核病门诊人员情况、地方财政支持情况、门诊登记/治疗/药品使用/免费政策执行情况等进行统计分析。结果 5家结核病定点医院中有4家门诊医务人员较固定;1家有地方专项经费支持,其余均无;初诊病人登记规范率97.2%、查痰率99.8%,结核病人登记率99.2%,肺结核病人中涂阳检出率30.1%,治疗标准方案使用率77.0%,免费拍摄胸片率70.0%,免费查痰率100%,免费抗结核药品使用率为61.1%。省级医院阳性检出率较高,但免费摄片和免费药品使用较低;县乡级医院在涂阳患者发现、免费摄片和药品使用等方面差异均无统计学意义(P>0.05)。结论定点医院在结防门诊人员的不固定性、医院下达经济指标等问题,当地财政的支持与否是制约该项工作质量的主要因素。Objective To explore the current working situation of TB designated hospitals from the new tuberculosis prevention and control work - system, and analyze the main influencing factors of working quality. Methods According to monthly statements, quarterly supervision and actual data inspection, a field survey was conducted in 5 designated TB control hospitals of Hefei city. Data on staff in outpatient department, local financial support, outpatient registration, TB patient treatment, drug use and the implementation of the free policy were analyzed statistically. Results In the 5 designated TB hospitals, 4 had fixed personnel, one had local special financial fund. The registration rate for newly diagnosed patients was 97.2%, the rate of sputum examination was 99.8%, the registration rate for TB patients was 99.2% while the screen- ing positive rate was 30.1%. The rate of standard treatment was 77%. The rate of free chest radiography and free sputum smear were 70% and 100% respectively. Free anti TB drug using rate was 61.1%. The screening positive rate in provin- cial hospital was higher than that in other hospitals. But the rate of free chest radiography and anti TB drug using in provincial hospital were lower than that in other hospitals. There wasnl significant difference between the county and township hospitals. Conclusion Medical staffs＂ instability , hospitals＇ economic indicators, local government financial supporting were the key restricted factors for TB control work.

关 键 词：结核病 定点医院 工作职责 

分 类 号：R52[医药卫生—内科学]